Individual provider · Type 1 NPI

Ieisha Waterman

Addiction (Substance Use Disorder) Counselor · Cullman, AL

NPI number 1912474693 Active

Practice location

1912 Commerce Ave
Cullman, AL 35055-6150

Mailing address

4180 Memorial Pkwy SW Apt F
Huntsville, AL 35802-2077

Specialties and licenses

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

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1912474693

Ieisha Waterman's National Provider Identifier is 1912474693, issued on Oct 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cullman, AL. The record was last updated on Oct 31, 2018.