Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN WALLER, LPCS, LCAS, CCS
ActiveKEVIN WALLER, LPCS, LCAS, CCS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in OLD FORT, North Carolina. NPI 1023596244 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · OLD FORT, NC
Registration Details
- NPI Number
- 1023596244
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2018 (8.0237959579465 yrs)
- Last Updated
- Jul 31, 2018
- Licenses
-
20998 (NC)S7822 (NC)3145 (NC)
Practice Information
- Address
-
363 GRAPHITE RDOLD FORT, NC, 287629455Browse NC providers · Browse ZIP 28762
- Phone
- 8286687590
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.