Individual provider · Type 1 NPI
Pamela Sue Waterman, MA, LCPC
Professional Counselor · Decatur, IL
NPI number
1407001357
Active
Practice location
720 E. Wood St.
Decatur, IL 62523
Fax (217) 425-9701
Mailing address
720 E Wood St
Decatur, IL 62523-1155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.006107 (IL) |
Professional Counselor: Definition to come...
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About NPI 1407001357
Pamela Sue Waterman, MA, LCPC's National Provider Identifier is 1407001357, issued on Nov 19, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, IL. The record was last updated on Nov 19, 2008.