Individual
KEVIN L WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
171 GRAHAM ST, GARDNER, MA 01440-3847
(978) 632-4574
(978) 632-4572
Mailing address
171 GRAHAM ST, GARDNER, MA 01440-3847
(978) 632-4574
(978) 632-4572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1497
MA
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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