Individual
ADAM WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
1714 21ST ST, SANTA MONICA, CA 90404-3917
(310) 829-7391
Mailing address
4444 VIA MARINA APT 817, MARINA DEL REY, CA 90292-6896
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
32988
CA
Other
Enumeration date
02/02/2013
Last updated
02/02/2013
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