Individual
WATARA HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 CAPITAL TRAIL, POLLY DRUMMOND OFFICE PLAZA BLDG# 3, NEWARK, DE 19711
(302) 454-7520
Mailing address
1114 S DUPONT HWY STE 105, DOVER, DE 19901-4401
(302) 442-6194
(302) 442-6940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1339
DE
104100000X
Social Worker
Q3-0000020
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1339
—
DE
05
—
Q3-0000020
—
DE
Enumeration date
11/25/2019
Last updated
11/25/2019
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