Individual
MRS. CAROL ANNE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3031 W IH 10, SAN ANTONIO, TX 78201-5159
(210) 731-1320
(210) 731-9661
Mailing address
3031 W IH 10, SAN ANTONIO, TX 78201-5159
(210) 731-1300
(210) 731-1310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17638
LICENSE PROFESSIONAL COUN
TX
Enumeration date
01/26/2007
Last updated
07/08/2007
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