Individual
REBECCA LYNN WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79001 AL HIGHWAY 77, LINCOLN, AL 35096-4073
(256) 315-5271
Mailing address
568 AVONDALE LN, PELL CITY, AL 35128-7741
(205) 473-5067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05197
AL
101YP2500X
Professional Counselor
ALC05197
AL
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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