Individual
MRS. AMANDA KAY WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LMHC
Contact information
Practice address
296 S MAIN ST, HAVERHILL, MA 01835-7301
(978) 701-3992
Mailing address
296 S MAIN ST, HAVERHILL, MA 01835-7301
(978) 701-3992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11780
MA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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