BENJAMIN MATTHEW WALLER

COLUMBIA, SC
NPI1740162940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: SC  11128)
Enumeration Date2025-07-21
Last Update Date2025-07-21
Business Address
BENJAMIN MATTHEW WALLER LPC
2113 ADAMS GRV STE 110
COLUMBIA, SC 29203-6957
Phone number: 803-206-5948
Mailing Address
BENJAMIN MATTHEW WALLER LPC
1118 BENTON ST
COLUMBIA, SC 29201-1816
Phone number: 803-206-5948
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