Individual
MS. LAURA M WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
200 HIGH ST, PORTLAND, ME 04101-7801
(800) 434-3000
Mailing address
200 HIGH ST, PORTLAND, ME 04101-7801
(207) 553-2260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4559
ME
106H00000X
Marriage & Family Therapist
60185
CA
Other
Enumeration date
02/20/2014
Last updated
07/21/2022
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