Individual
RYAN CASEY WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4514 COLE AVE STE 200, DALLAS, TX 75205-4153
(817) 586-8537
Mailing address
4514 COLE AVE STE 200, DALLAS, TX 75205-4153
(817) 586-8537
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203628
TX
Other
Enumeration date
03/27/2023
Last updated
10/01/2025
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