Individual
JANIS WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
601 DEAL RD, OCEAN, NJ 07712-3622
(732) 531-2600
Mailing address
601 DEAL RD, OCEAN, NJ 07712-3622
(732) 531-2600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00383100
NJ
Other
Enumeration date
10/23/2009
Last updated
07/15/2013
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