MR. Donnie M. Waller, LSW

NPI #1013020957 in Chandler, Oklahoma

Provider Information

NPI Number: 1013020957
Entity Type: Individual
Name: MR. Donnie M. Waller, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LSW
Enumeration Date: Aug 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 112 MCKINLEY AVE
City: Chandler
State: Oklahoma
ZIP Code: 74834-1622
Phone: (405) 258-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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