Individual
TAWNA ANN WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
584 EAST 24TH ST, OGDEN, UT 84401
(801) 971-0447
Mailing address
1448 23RD ST, OGDEN, UT 84401-2026
(801) 971-0447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12113195-6004
UT
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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