Individual
SHANNON MARIE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
503 E 23RD ST S, INDEPENDENCE, MO 64055-1502
(816) 252-8388
(816) 252-1337
Mailing address
21111 NALL AVE, BUCYRUS, KS 66013-9502
(913) 548-1958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
09/11/2025
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