Individual
KRISTINA MICHELLE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
1330 ELLISON AVE, LOUISVILLE, KY 40204-1657
(502) 694-9488
Mailing address
1330 ELLISON AVE, LOUISVILLE, KY 40204-1657
(502) 694-9488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256442
KY
106H00000X
Marriage & Family Therapist
260578
KY
Other
Enumeration date
05/30/2018
Last updated
02/27/2024
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