Individual provider · Type 1 NPI

Stacy Perez Waterman, LPC, LCDC

Mental Health Counselor · San Antonio, TX

NPI number 1467977108 Active

Practice location

4301 Broadway, Ad 438
San Antonio, TX 78209

Mailing address

7567 Corian Park Dr
San Antonio, TX 78249-3627

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X71128 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1467977108

Stacy Perez Waterman, LPC, LCDC's National Provider Identifier is 1467977108, issued on Aug 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on Aug 3, 2017.