Individual provider · Type 1 NPI

Angela Waters, LMHCA

Mental Health Counselor · Fort Wayne, IN

NPI number 1184483703 Active

Practice location

4150 Illinois Rd
Fort Wayne, IN 46804-1208

Call (260) 702-3759 Map

Mailing address

2026 Ardmore Ave Apt 109
Fort Wayne, IN 46802-4863

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X88001696A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1184483703

Angela Waters, LMHCA's National Provider Identifier is 1184483703, issued on Mar 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 20, 2024.