Madison Waller

NPI #1992531883 in Taylorsville, Utah

Provider Information

NPI Number: 1992531883
Entity Type: Individual
Name: Madison Waller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Sep 9, 2024
Last Updated: Sep 9, 2024

Practice Location

Address: 3809 W 6200 S
City: Taylorsville
State: Utah
ZIP Code: 84129-3725
Phone: (801) 963-4360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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