| Madison Waller, | |
|
3809 W 6200 S, Taylorsville, UT 84129-3725 | |
| (801) 963-4360 | |
| Not Available |
| Full Name | Madison Waller |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3809 W 6200 S, Taylorsville, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992531883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14153492-6006 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Waller, 3725 W 4100 S Ste 201, West Valley City, UT 84120-5427 Ph: () - | Madison Waller, 3809 W 6200 S, Taylorsville, UT 84129-3725 Ph: (801) 963-4360 |
Jenessa Crowton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Jennifer Lutz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Valerie Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-255-5131 | |
Cheyenne Nicholas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Catharine Jurek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Melissa Lamph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Joey Malula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 |