Individual
AMANDA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3574
Mailing address
1616 CORNWALL AVE, STE 205, BELLINGHAM, WA 98225-4642
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0009920979
CO
1041C0700X
Clinical Social Worker
CSW.09925536
CO
1041C0700X
Clinical Social Worker
Primary
LW61136957
WA
Other
Enumeration date
09/03/2015
Last updated
07/05/2023
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