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Edward Waller JR.
Counselor in Plant City, Florida
NPI 1811387178

Edward Waller JR. is a Counselor based in Plant City, FL. Edward Waller JR. practices in Plant City, FL. The NPI Number for Edward Waller JR. is 1811387178 and holds a License No. (Florida).

The current practice location address for Edward Waller JR. is 1001 E Baker St, Plant City, FL and can be reached out via phone at 813-754-5555.

Location: 1001 E Baker St, Plant City, FL, 33563-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811387178
Provider Name
Edward Waller JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1001 E Baker St, Plant City, FL, 33563-3700
Phone Number
813-754-5555
Fax Number
Provider Enumeration Date
01/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 E Baker St
City
Plant City
State
Florida
Zip
33563-3700
Phone Number
813-754-5555
Fax Number
person
Provider Business Mailing Address Details
Address
1001 E Baker St
City
Plant City
State
Florida
Zip
33563-3700
Phone Number
813-754-5555
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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