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

Kia M Waller, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205545274

Kia M Waller, CDCA is an Addiction (Substance Use Disorder) Counselor in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

725 Boardman Canfield Rd Ste C4
Youngstown, OH 44512-4367
Phone: (855) 292-9778
Fax: (855) 292-9778
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.182720 (OH)

Record details

NPI number1205545274
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorYes
NPI enumeratedNovember 18, 2022
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022
Mailing address725 Boardman Canfield Rd Ste C4, Youngstown, OH 44512-4367

Other providers in Youngstown