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MRS. SHARON JOHNSON WATERS CSC-AD
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1366710725
Individual Registrant:MRS. SHARON JOHNSON WATERS CSC-AD
Gender: F
Not Sole Proprietor
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: --
Tel: 410-943-8108 Fax: --
Contact information for business:
3680 WARWICK RD EAST NEW MARKET, MD 21631-1420 US
Tel: 410-943-8108 Fax: --
Tel: 410-943-8108 Fax: --
Registration Information:
NPI: 1366710725
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | MD | SC1038 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 631501100 | MD | 05 |
