Individual
MS. CHARLENE HOPE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7178 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2581
(410) 313-6285
Mailing address
9106 TOWER RD, RANDALLSTOWN, MD 21133-3518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACO299
MD
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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