Individual
BRIAN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6053 BRISTOL PKWY, CULVER CITY, CA 90230-6601
(888) 449-0852
Mailing address
6053 BRISTOL PKWY, CULVER CITY, CA 90230-6601
(888) 449-0852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
98352
CA
1041C0700X
Clinical Social Worker
Primary
98352
CA
Other
Enumeration date
02/10/2021
Last updated
05/09/2026
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