Individual
SCOTT J WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1600 VALLEY RIVER DR STE 103, EUGENE, OR 97401-2141
(503) 956-3719
Mailing address
465 72ND ST, SPRINGFIELD, OR 97478-7237
(503) 956-3719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHCA.MC.60501032
WA
101YP2500X
Professional Counselor
Primary
C4911
OR
Other
Enumeration date
10/28/2015
Last updated
11/18/2019
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