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Melissa Lenae Waters
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1841705530

Melissa Lenae Waters is an Addiction (Substance Use Disorder) Counselor based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). Melissa Lenae Waters practices in San Rafael, CA. The NPI Number for Melissa Lenae Waters is 1841705530 and holds a License No. (California).

The current practice location address for Melissa Lenae Waters is 1477 Lincoln Ave, San Rafael, CA and can be reached out via phone at 415-459-2395.

Location: 1477 Lincoln Ave, San Rafael, CA, 94901-2028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841705530
Provider Name
Melissa Lenae Waters
Credential
Provider Entity Type
Individual
Gender
Female
Address
1477 Lincoln Ave, San Rafael, CA, 94901-2028
Phone Number
415-459-2395
Fax Number
Provider Enumeration Date
12/05/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
941740797 05 CA
institution
Provider Business Practice Location Address Details
Address
1477 Lincoln Ave
City
San Rafael
State
California
Zip
94901-2028
Phone Number
415-459-2395
Fax Number
person
Provider Business Mailing Address Details
Address
1477 Lincoln Ave
City
San Rafael
State
California
Zip
94901-2028
Phone Number
415-459-2395
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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