| Doctor Name: | KAREN L. WALLER |
| NPI Number: | 1023194461 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LPC LMHP |
| License Number: | 213 |
| Business Practice Address: | 5205 2nd Ave Kearney, NE - 688472471 |
| Business Phone Number: | 3082375596 |
| Business Fax Number: | |
| Mailing Address: | Po Box 955, KEARNEY |
| State: | NE |
| Postal Code: | 688480955 |
| Phone Number: | 3082375596 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 213 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |