Organization
ANN WATERS, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN WATERS LPC (OWNER)
(678) 757-4453
Entity
Organization
Contact information
Practice address
3589 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084-4001
(678) 757-4453
(678) 530-1034
Mailing address
3589 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084-4001
(678) 757-4453
(678) 530-1034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003245197A
—
GA
Enumeration date
10/26/2018
Last updated
05/26/2021
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