Colin Waters

NPI #1104279413 in Ammon, Idaho

Provider Information

NPI Number: 1104279413
Entity Type: Individual
Name: Colin Waters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 21, 2016
Last Updated: Jul 21, 2016

Practice Location

Address: 2705 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6601
Phone: (208) 346-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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