Individual
ANN CLAUDETTE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3589 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084
(678) 757-4453
(678) 530-1034
Mailing address
3589 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084
(678) 757-4453
(678) 530-1034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC001330
GA
101Y00000X
Counselor
LPC005573
GA
101YP2500X
Professional Counselor
Primary
LPC005573
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003245197A
—
GA
Enumeration date
08/07/2006
Last updated
05/26/2021
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