Waller, Gloria Jean
Waller, Gloria Jean is an individual health care provider with primary practice located at 1900 Denver Ave , El Paso TX 79902-3008. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Waller, Gloria Jean can be contacted via phone (915) 544-2349.Contact Information
Primary practice address
1900 Denver Ave
El Paso TX 79902-3008
Phone: (915) 544-2349
Fax: (915) 639-9532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12881 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 73537 | Texas |
Profile Details
| NPI number | 1154811438 |
|---|---|
| LBN Legal business name | Waller, Gloria Jean |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2018 |
| Last updated | Jun 5th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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