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Individual
MR. ROBERT K. WAATSA
Active
Individual
MR. ROBERT K. WAATSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.C., L.A.D.A.C.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0159721
NM
101YM0800X
Mental Health Counselor
0156201
NM
101YM0800X
Mental Health Counselor
Primary
CCMH0208201
NM
Other
Enumeration date
01/24/2013
Last updated
02/17/2021
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