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

Mr. Glenn R Waller, LPC

Individual provider Professional Counselor · NPI 1689607814

Mr. Glenn R Waller, LPC is a Professional Counselor in McComb, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1701 White St
McComb, MS 39648-2711
Phone: (601) 684-2173
Fax: (601) 249-4234
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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 0695 (MS)

Record details

NPI number1689607814
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESJuly 8, 2007

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