Individual
KATHIE RAE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
47177 US HWY 2 WEST, LOWER LEVEL SUITE 1, MALTA, MT 59538
(406) 390-1916
Mailing address
PO BOX 284, MALTA, MT 59538-0284
(406) 654-1539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4913
MT
Other
Enumeration date
12/18/2013
Last updated
07/18/2015
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