Individual
KAYLA A WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3120 N OAK STREET EXT STE G, VALDOSTA, GA 31602-5910
(229) 671-6130
(229) 671-6764
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6130
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001990
GA
Other
Enumeration date
09/28/2022
Last updated
11/09/2022
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