Individual
ANNELIESE KIRSTEN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
820 6TH ST, WASCO, CA 93280-1948
(661) 758-4029
Mailing address
820 6TH ST, WASCO, CA 93280-1948
(661) 758-4029
(850) 595-0180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
100033
CA
Other
Enumeration date
01/22/2014
Last updated
07/23/2024
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