Individual
LASHAWN JANELL WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
709 N BROOM ST, APT 6, WILMINGTON, DE 19805-3160
(610) 761-2129
Mailing address
10 CORPORATE CIR STE 201, NEW CASTLE, DE 19720-2418
(302) 276-1494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000785
DE
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250693189
—
DE
Enumeration date
04/30/2013
Last updated
07/25/2022
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