person
Susan P. Waller, CADC
Addiction (Substance Use Disorder) Counselor in Bloomington, Illinois
NPI 1821129958

Susan P. Waller is an Addiction (Substance Use Disorder) Counselor based in Bloomington, IL and is specialized in Addiction (Substance Use Disorder). Susan P. Waller practices in Bloomington, IL and has the professional credentials of CADC. The NPI Number for Susan P. Waller is 1821129958 and holds a License No. 25608 (Illinois).

The current practice location address for Susan P. Waller is 702 W Chestnut St, Bloomington, IL and can be reached out via phone at 309-827-6026. You can also correspond with Susan P. Waller through the mailing address at 702 W CHESTNUT ST, BLOOMINGTON, IL - 61701-2814 (mailing address contact number: 309-827-6026).

Location: 702 W Chestnut St, Bloomington, IL, 61701-2814
person
Provider Profile Details
NPI Number
1821129958
Provider Name
Susan P. Waller
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
702 W Chestnut St, Bloomington, IL, 61701-2814
Phone Number
309-827-6026
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
702 W Chestnut St
City
State
Zip
61701-2814
Phone Number
309-827-6026
Fax Number
person
Provider Business Mailing Address Details
Address
702 W Chestnut St
City
State
Zip
61701-2814
Phone Number
309-827-6026
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
25608 (Illinois)
Definition
Definition to come...
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