Individual
MARK O WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CAADC
Contact information
Practice address
112 ARBOR LN, ALPENA, MI 49707-1302
(989) 340-2131
(989) 340-2168
Mailing address
112 ARBOR LN, ALPENA, MI 49707-1302
(989) 340-2131
(989) 340-2168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-03793
MI
101YP2500X
Professional Counselor
Primary
6401015528
MI
Other
Enumeration date
05/09/2016
Last updated
02/11/2020
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