Individual
MR. JEFFREY JAY WALLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
9025 OVERLOOK BLVD STE 200, BRENTWOOD, TN 37027-2710
(864) 642-5004
Mailing address
500 ROLLING MILL HILL RD APT 306, NASHVILLE, TN 37210-2525
(864) 642-5004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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