Individual provider · Type 1 NPI
Michael Derek Waters, RADT
Addiction (Substance Use Disorder) Counselor · Campo, CA
NPI number
1316505100
Active
Practice location
1777 Buckman Springs Rd
Campo, CA 91906-2022
Fax (619) 478-2404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1349930619 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1316505100
Michael Derek Waters, RADT's National Provider Identifier is 1316505100, issued on Jun 5, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Campo, CA. The record was last updated on Jun 5, 2019.