Individual
MS. LORI MARIE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1485 LINAPUNI ST RM 105, HONOLULU, HI 96819-3575
(808) 843-5312
Mailing address
1485 LINAPUNI ST RM 105, HONOLULU, HI 96819-3575
(808) 843-5312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
1212
CO
Other
Enumeration date
10/24/2015
Last updated
11/16/2015
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