NPI 1013020957

Donnie M. Waller, LSW

Practitioner Mental Health Counselor Chandler, OK

Practice location

Address: 112 McKinley Ave, Chandler, OK 74834-1622
Phone: (405) 258-3040
Fax: (405) 240-5008
Mailing address: Rr 2 Box 220b, Meeker, OK 74855-9305

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1775 (OK)

Other Counselor providers in Oklahoma →

Registry record

NPI: 1013020957
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.