Christian Waller
Mental Health Counselor in Augusta, GA(View on Map)
Full Name
Christian Waller
NPI Number
1750033510
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/24/2022
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
LPC012689
Contact
Information
Purpose
Mailing
Location
Address
2761 ROCKY CREEK RD
2761 ROCKY CREEK RD
City
Augusta
Augusta
State
GA
GA
Postal Code
30906-2657
30906-2657
Country
US
US
Telephone Number
(678) 258-5400
(678) 258-5400
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/24/2022