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Brianna Waller, MS
Counselor in Marion, Illinois
NPI 1922384932

Brianna Waller is a Counselor based in Carterville, IL. Brianna Waller practices in Marion, IL and has the professional credentials of MS. The NPI Number for Brianna Waller is 1922384932 and holds a License No. (Illinois).

The current practice location address for Brianna Waller is 1307 W Main St, Marion, IL and can be reached out via phone at 618-997-5336 and via fax at 618-993-2969. You can also correspond with Brianna Waller through the mailing address at 500 BARNETT AVE APT B, CARTERVILLE, IL - 62918-5099 (mailing address contact number: 618-435-7893).

Location: 1307 W Main St, Marion, IL, 62918-5099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922384932
Provider Name
Brianna Waller
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
1307 W Main St, Marion, IL, 62918-5099
Phone Number
618-997-5336
Fax Number
618-993-2969
Provider Enumeration Date
10/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1307 W Main St
City
Marion
State
Illinois
Zip
62959-1139
Phone Number
618-997-5336
Fax Number
618-993-2969
person
Provider Business Mailing Address Details
Address
1307 W Main St
City
Marion
State
Illinois
Zip
62959-1139
Phone Number
618-997-5336
Fax Number
618-993-2969
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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