person
Mr. Todd Bantom Waters, MSNCC
Mental Health Counselor in Philadelphia, Pennsylvania
NPI 1578968103

Todd Bantom Waters is a Mental Health Counselor based in Philadelphia, PA and is specialized in Mental Health. Todd Bantom Waters practices in Philadelphia, PA and has the professional credentials of MSNCC. The NPI Number for Todd Bantom Waters is 1578968103 and holds a License No. (Pennsylvania).

The current practice location address for Todd Bantom Waters is 8220 Castor Ave, Philadelphia, PA and can be reached out via phone at 215-554-4469 and via fax at 215-745-6511.

Location: 8220 Castor Ave, Philadelphia, PA, 19152-2729
person
Provider Profile Details
NPI Number
1578968103
Provider Name
Todd Bantom Waters
Credential
MSNCC
Provider Entity Type
Individual
Gender
Male
Address
8220 Castor Ave, Philadelphia, PA, 19152-2729
Phone Number
215-554-4469
Fax Number
215-745-6511
Provider Enumeration Date
10/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8220 Castor Ave
City
State
Zip
19152-2729
Phone Number
215-554-4469
Fax Number
215-745-6511
person
Provider Business Mailing Address Details
Address
8220 Castor Ave
City
State
Zip
19152-2729
Phone Number
215-554-4469
Fax Number
215-745-6511
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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