Individual
COLLEEN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAAR
Contact information
Practice address
21 COLVILLE ST, NESPELEM, WA 99155-0150
(509) 634-2610
Mailing address
PO BOX 150, NESPELEM, WA 99155-0150
(509) 634-2610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61345691
WA
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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