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MR. ELMER WALLER
NPI 1013152800
Counselor - Addiction (Substance Use Disorder) in Kotzebue, AK

Active since December 08, 2008
436 5TH STREET TED STEVENS WAY, KOTZEBUE, AK 99752(907) 442-7640(907) 442-7822 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Elmer Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ELMER WALLER (NPI 1013152800) is an individual addiction (substance use disorder) provider in Kotzebue, Alaska and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1013152800
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ELMER WALLER
Location Address436 5TH STREET TED STEVENS WAYKotzebue, AK 99752
Mailing Address436 5th Street Ted Stevens WayKotzebue, AK 99752 · (907) 442-7640 · Fax (907) 442-7822
Phone(907) 442-7640
Fax(907) 442-7822
Sole ProprietorYes
Enumeration DateDecember 8, 2008
✔ NPI 1013152800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
436 5TH STREET TED STEVENS WAY, Kotzebue, AK 99752
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAVONNE HARRIS
Counselor (Addiction (Substance Use Disorder))
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7640
MS. ROBERTA L. GASTINEAU L.C.S.W.
Social Worker (Clinical)
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7405
FLORA HENRY
Counselor (Addiction (Substance Use Disorder))
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7640
HILDA SKIN RHSI
Counselor (Addiction (Substance Use Disorder))
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7640
MS. JULIA ELIZABETH SAVOK
Counselor (Addiction (Substance Use Disorder))
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7823
WAYNE WALLUK
Counselor (Addiction (Substance Use Disorder))
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elmer Waller's NPI number?

The NPI number for Elmer Waller is 1013152800. It was assigned to this individual provider in the NPPES registry on December 8, 2008.

Where is Elmer Waller located?

Elmer Waller practices at 436 5th Street Ted Stevens Way, Kotzebue, AK 99752. The listed phone number is (907) 442-7640.

What is Elmer Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Elmer Waller was last updated on December 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.