SIERRA WALLER NPI 1225740772

NPI Information

  • NPI: 1225740772
  • Provider Name: SIERRA WALLER
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 3338 N LINCOLN AVE
    CHICAGO, IL
    ZIP 60657
  • Phone: (708) 320-9679

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NPI Details

Sierra Waller is a professional counselor in Chicago, IL. Sierra Waller NPI is 1225740772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3338 N LINCOLN AVE
CHICAGO, IL
ZIP 60657-108
Phone: (708) 320-9679

The enumeration date for this NPI number is 12/15/2022 and was last updated on 12/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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