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Jason Waller
Professional Counselor in Abilene, Texas
NPI 1942970587

Jason Waller is a Professional Counselor based in Abilene, TX and is specialized in Professional. Jason Waller practices in Abilene, TX. The NPI Number for Jason Waller is 1942970587 and holds a License No. 86440 (Texas).

The current practice location address for Jason Waller is 4415 Loop 322, Abilene, TX and can be reached out via phone at 325-386-3466.

Location: 4415 Loop 322, Abilene, TX, 79602-8056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942970587
Provider Name
Jason Waller
Credential
Provider Entity Type
Individual
Gender
Male
Address
4415 Loop 322, Abilene, TX, 79602-8056
Phone Number
325-386-3466
Fax Number
Provider Enumeration Date
09/15/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4415 Loop 322
City
Abilene
State
Texas
Zip
79602-8056
Phone Number
325-386-3466
Fax Number
person
Provider Business Mailing Address Details
Address
4415 Loop 322
City
Abilene
State
Texas
Zip
79602-8056
Phone Number
325-386-3466
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
86440 (Texas)
Definition
Definition to come...
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