Individual
MR. JEFFREY TODD WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4011 E PROVIDENCE RD, WILLIAMSBURG, VA 23188-2783
(703) 409-6510
Mailing address
4011 E PROVIDENCE RD, WILLIAMSBURG, VA 23188-2783
(703) 409-6510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010822
VA
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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