Individual
MS. BETH ANN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
18 LUCKETTS CT, FREDERICKSBURG, VA 22406-8426
(540) 903-0839
Mailing address
18 LUCKETTS CT, FREDERICKSBURG, VA 22406-8426
(540) 903-0839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003694
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237888
ANTHEN BCBS
VA
Enumeration date
11/09/2006
Last updated
05/15/2008
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