Individual
LAURA DENISE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211
(704) 376-7447
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
13161-A
NC
Other
Enumeration date
08/28/2017
Last updated
08/07/2018
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