Individual
MRS. SHARON JOHNSON WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSC-AD
Contact information
Practice address
3680 WARWICK RD, EAST NEW MARKET, MD 21631-1420
(410) 943-8108
Mailing address
3680 WARWICK RD, EAST NEW MARKET, MD 21631-1420
(410) 943-8108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC1038
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631501100
—
MD
Enumeration date
12/13/2011
Last updated
12/13/2011
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