MICHAEL DEREK WATERS

CAMPO, CA
NPI1316505100
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1349930619)
Enumeration Date2019-06-05
Last Update Date2019-06-05
Business Address
Mr. MICHAEL DEREK WATERS RADT
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 619-478-5696
Mailing Address
Mr. MICHAEL DEREK WATERS RADT
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 619-478-5696
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