Individual
KAREN L. WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC LMHP
Contact information
Practice address
5205 2ND AVE, KEARNEY, NE 68847-2471
(308) 237-5596
Mailing address
PO BOX 955, KEARNEY, NE 68848-0955
(308) 237-5596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
213
NE
101YM0800X
Mental Health Counselor
Primary
262
NE
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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