Individual
MS. LINDA MARIE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
1717 E PERKINS AVE, SUITE #202, SANDUSKY, OH 44870-7919
(419) 357-3452
Mailing address
4307 WALNUT CREEK LN, SANDUSKY, OH 44870-7345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
981033
OH
101YP2500X
Professional Counselor
Primary
0002689
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002689
OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE AND FAMILY THERAPIST BOARD
OH
01
—
981033
OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
OH
Enumeration date
02/24/2010
Last updated
05/30/2013
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