Individual provider · Type 1 NPI

Carl Edwin Waters

Peer Specialist · Bowling Green, KY

NPI number 1629942016 Active

Practice location

822 Woodway St
Bowling Green, KY 42101-2771

Call (270) 901-5000 Map

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1629942016

Carl Edwin Waters's National Provider Identifier is 1629942016, issued on Sep 30, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bowling Green, KY. The record was last updated on Sep 30, 2025.