MATTHEW DAVID WATERS

OMAHA, NE
NPI1225303985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-1013)
Enumeration Date2012-03-14
Last Update Date2012-03-14
Business Address
-- MATTHEW DAVID WATERS AAS, PLADC
2808 N 75TH ST
OMAHA, NE 68134-6861
Phone number: 402-932-2248
Mailing Address
-- MATTHEW DAVID WATERS AAS, PLADC
2808 N 75TH ST
OMAHA, NE 68134-6861
Phone number: 402-932-2248