Individual
DANIEL S WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180014227
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178015658
LPC LICENSE
IL
Enumeration date
12/21/2021
Last updated
01/21/2022
Update your record
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