Individual
BRANDON WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 W STAN SCHLUETER LOOP, KILLEEN, TX 76549-3664
(912) 424-2910
(912) 424-2910
Mailing address
3702 OZARK DR, KILLEEN, TX 76549-6645
(912) 424-2910
(912) 424-2910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/31/2015
Last updated
02/02/2021
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