Individual
TAURUS WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
39 FRIARS POINT RD, JACKSON, TN 38305-5333
(901) 567-3554
Mailing address
2220 UNION AVE, MEMPHIS, TN 38104-4315
(901) 567-3554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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