Individual
IEISHA WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 COMMERCE AVE, CULLMAN, AL 35055-6150
(256) 739-5595
Mailing address
4180 MEMORIAL PKWY SW APT F, HUNTSVILLE, AL 35802-2077
(646) 456-1850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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