Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Waller

Individual provider Counselor · NPI 1083220081

Jordan Waller is a Counselor in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2020.

Licensed in
CO
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1 Wellness Way
Pueblo, CO 81006-2103
Phone: (719) 545-2746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN.1649284 (CO)
Counselor Taxonomy 101Y00000X

Record details

NPI number1083220081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020
Mailing address41 Montebello Rd Ste 204, Pueblo, CO 81001-1379

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