Individual provider · Type 1 NPI

Roderick A. Waters, CASAC

Addiction (Substance Use Disorder) Counselor · Canton, NY

NPI number 1326167735 Active

Practice location

80 State Highway 310, Suite 1
Canton, NY 13617-1493

Call (315) 386-2189 Map

Fax (315) 386-2435

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X5264 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1326167735

Roderick A. Waters, CASAC's National Provider Identifier is 1326167735, issued on Mar 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, NY. The record was last updated on Jul 8, 2007.