Individual
MR. EDWARD WATERS SIDEBOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5372 WINDY RIDGE RD, CHARLOTTESVILLE, VA 22903-7359
(434) 981-2351
Mailing address
5372 WINDY RIDGE RD, CHARLOTTESVILLE, VA 22903-7359
(434) 981-2351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011395
VA
Other
Enumeration date
03/12/2022
Last updated
11/06/2025
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