Individual
NACORYA WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMHP-S
Contact information
Practice address
123 WOODLYN DR, COLLINSVILLE, VA 24078-1660
(276) 734-3415
(276) 209-3026
Mailing address
123 WOODLYN DR, COLLINSVILLE, VA 24078-1660
(276) 734-3415
(276) 209-3026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
04/22/2024
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