Christian Waller
Christian Waller is a Mental Health Counselor in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
2761 Rocky Creek RdAugusta, GA 30906-2657
Phone: (678) 258-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LPC012689 (GA) |
|---|
Record details
| NPI number | 1750033510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2022 |
| Last updated in NPPES | January 24, 2022 |
| Certification date | January 24, 2022 |
| Mailing address | 2761 Rocky Creek Rd, Augusta, GA 30906-2657 |
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