Individual
CORINNE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(203) 297-7576
Mailing address
70 ARI DR APT 312, WESTBROOK, ME 04092-5025
(203) 297-7576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5578
ME
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/06/2017
Last updated
02/21/2024
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