Individual
MRS. AMY WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7925 S BROADWAY AVE STE 820, TYLER, TX 75703-5255
(903) 561-8955
Mailing address
7925 S BROADWAY AVE, TYLER, TX 75703-5227
(903) 343-4493
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
69252
TX
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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