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MRS. SHARON JOHNSON WATERS CSC-AD

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1366710725

Individual Registrant:
MRS. SHARON JOHNSON WATERS CSC-AD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3680 WARWICK RD  EAST NEW MARKET, MD 21631-1420 US
Tel: 410-943-8108  Fax: --

Contact information for business:
3680 WARWICK RD  EAST NEW MARKET, MD 21631-1420 US
Tel: 410-943-8108  Fax: --

Registration Information:
NPI: 1366710725
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MDSC1038

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
631501100MD05




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