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Colin Waters
Professional Counselor in Ammon, Idaho
NPI 1104279413

Colin Waters is a Professional Counselor based in Ammon, ID and is specialized in Professional. Colin Waters practices in Ammon, ID. The NPI Number for Colin Waters is 1104279413 and holds a License No. LPC-6309 (Idaho).

The current practice location address for Colin Waters is 2705 E 17Th St, Ammon, ID and can be reached out via phone at 208-346-7500.

Location: 2705 E 17Th St, Ammon, ID, 83406-6601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104279413
Provider Name
Colin Waters
Credential
Provider Entity Type
Individual
Gender
Male
Address
2705 E 17Th St, Ammon, ID, 83406-6601
Phone Number
208-346-7500
Fax Number
Provider Enumeration Date
07/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2705 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6601
Phone Number
208-346-7500
Fax Number
person
Provider Business Mailing Address Details
Address
2705 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6601
Phone Number
208-346-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC-6309 (Idaho)
Definition
Definition to come...
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