Individual
HALEY NICOLE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
916 REYNOLDS RD, BARNWELL, SC 29812-6358
(803) 259-7170
Mailing address
217 PINE LOG RD, BEECH ISLAND, SC 29842-8308
(706) 840-4032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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