Waters, Ann Claudette
Waters, Ann Claudette is an individual health care provider with primary practice located at 3589 Habersham At Northlake , Tucker GA 30084. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Waters, Ann Claudette can be contacted via phone (678) 757-4453.Contact Information
Primary practice address
3589 Habersham At Northlake
Tucker GA 30084
Phone: (678) 757-4453
Fax: (678) 530-1034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC005573 | Georgia |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | APC001330 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC005573 | Georgia |
Profile Details
| NPI number | 1346259264 |
|---|---|
| LBN Legal business name | Waters, Ann Claudette |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | May 26th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346259264 | NPPES |
| Georgia | MEDICAID | 003245197A |
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