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

Individual provider Professional Counselor · NPI 1417233073

Kimberly B Waller, MA, LPC is a Professional Counselor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

107 Sunnybrook Rd Wake Brk Bldg
Raleigh, NC 27610-1827
Phone: (919) 747-0507
Fax: (919) 747-0577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7498 (NC)

Record details

NPI number1417233073
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedOctober 27, 2011
Last updated in NPPESOctober 27, 2011

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