Individual provider · Type 1 NPI

Carol A. Waters, MA, LPC, CAADC

Professional Counselor · Ithaca, MI

NPI number 1831254978 Active

Practice location

122 N Maple St
Ithaca, MI 48847-1024

Fax (989) 388-4187

Mailing address

5131 Corvallis Dr
Mount Pleasant, MI 48858-7935

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500X6401010542 (MI)

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About NPI 1831254978

Carol A. Waters, MA, LPC, CAADC's National Provider Identifier is 1831254978, issued on Dec 27, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ithaca, MI. The record was last updated on Jul 21, 2022.