Individual provider · Type 1 NPI
Edward Waters Sidebottom, LPC
Mental Health Counselor · Charlottesville, VA
NPI number
1780332452
Active
Practice location
5372 Windy Ridge Rd
Charlottesville, VA 22903-7359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0701011395 (VA) |
Mental Health Counselor: Definition to come...
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About NPI 1780332452
Edward Waters Sidebottom, LPC's National Provider Identifier is 1780332452, issued on Mar 12, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlottesville, VA. The record was last updated on Nov 6, 2025.