Individual
CAROLINE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 OAK LAWN AVE STE 200, DALLAS, TX 75219-6714
(469) 599-4519
Mailing address
4444 COLE AVE APT 425, DALLAS, TX 75205-4375
(904) 860-7875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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