Kristi Waller

NPI #1679313233 in Lawrenceville, Illinois

Provider Information

NPI Number: 1679313233
Entity Type: Individual
Name: Kristi Waller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 2101 JAMES ST
City: Lawrenceville
State: Illinois
ZIP Code: 62439-2027
Phone: (618) 943-3302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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