JESSICA M WATERS
NPI 1376893453
Counselor - Mental Health in Kissimmee, FL
Active since September 14, 2012
About Jessica M Waters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA M WATERS (NPI 1376893453) is an individual mental health provider in Kissimmee, Florida, licensed in Maryland (LGP10554) and active in the NPI registry since September 2012.
NPPES Registry Identity
NPI1376893453
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA M WATERS
Location Address439 CHURCHILL CTKissimmee, FL 34759-5950
Mailing Address200 Wilson Point Rd Unit 4913Middle River, MD 21220-7601 · (410) 702-8864
Phone(407) 963-7434
Sole ProprietorYes
Enumeration DateSeptember 14, 2012
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1376893453 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LGP10554
439 CHURCHILL CT, Kissimmee, FL 34759
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376893453, enumerated as an "individual" on September 14, 2012.
The provider is located at 439 CHURCHILL CT KISSIMMEE, FL 34759 and the phone number is (407) 963-7434.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
