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KIA M WALLER CDCA
NPI 1205545274
Counselor - Addiction (Substance Use Disorder) in Youngstown, OH

Active since November 18, 2022
725 BOARDMAN CANFIELD RD STE C4, YOUNGSTOWN, OH 44512(855) 292-9778(855) 292-9778 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kia M Waller Cdca NPPES

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

KIA M WALLER CDCA (NPI 1205545274) is an individual addiction (substance use disorder) provider in Youngstown, Ohio, licensed in Ohio (CDCA.182720) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1205545274
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIA M WALLERCredential: CDCA
Location Address725 BOARDMAN CANFIELD RD STE C4Youngstown, OH 44512-4367
Mailing Address725 Boardman Canfield Rd Ste C4Youngstown, OH 44512-4367 · (855) 292-9778 · Fax (855) 292-9778
Phone(855) 292-9778
Fax(855) 292-9778
Sole ProprietorYes
Enumeration DateNovember 18, 2022
NPPES CertifiedNovember 18, 2022
✔ NPI 1205545274 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
License✔ Licensed in OH · CDCA.182720
725 BOARDMAN CANFIELD RD STE C4, Youngstown, OH 44512
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Other Names 1

Former Name (1)Kia M Williams

Other Providers at the Same Location NPPES 10

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

ADAM LONARDO
Counselor
725 BOARDMAN CANFIELD RD STE C4
YOUNGSTOWN, OH 44512
Mahoning County (855) 292-9778
ZACHARY A WHITE CDCA
Counselor (Addiction (Substance Use Disorder))
725 BOARDMAN CANFIELD RD STE C4
YOUNGSTOWN, OH 44512
Mahoning County (855) 292-9778
MS. ASHLEY REBECCA ROWAN CPRS
Peer Specialist
725 BOARDMAN CANFIELD RD STE C4
YOUNGSTOWN, OH 44512
Mahoning County (855) 292-9778
GERALD HOVANEC CPRS
Peer Specialist
725 BOARDMAN CANFIELD RD STE C4
YOUNGSTOWN, OH 44512
Mahoning County (855) 292-9778
ANDREW JOSEPH DUKO CPRS
Peer Specialist
725 BOARDMAN CANFIELD RD STE C4
YOUNGSTOWN, OH 44512
Mahoning County (855) 292-9778
JONATHAN MARK BOWERS PRS, QMHS
Peer Specialist
725 BOARDMAN CANFIELD RD STE C4
YOUNGSTOWN, OH 44512
Mahoning County (855) 292-9778
MS. CHEYENNE W MASSEY CDCA
Counselor (Addiction (Substance Use Disorder))
725 BOARDMAN CANFIELD RD STE C4
YOUNGSTOWN, OH 44512
Mahoning County (855) 292-9778
JOSE DOMINGO GONZALEZ LSW
Social Worker (Clinical)
725 BOARDMAN CANFIELD RD STE C4
YOUNGSTOWN, OH 44512
Mahoning County (855) 292-9778

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 Kia Waller's NPI number?

The NPI number for Kia Waller is 1205545274. It was assigned to this individual provider in the NPPES registry on November 18, 2022. The provider is also known as Kia M Williams.

Where is Kia Waller located?

Kia Waller practices at 725 Boardman Canfield Rd Ste C4, Youngstown, OH 44512. The listed phone number is (855) 292-9778.

What is Kia 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 Kia Waller was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.