EDWARD WATERS SIDEBOTTOM

CHARLOTTESVILLE, VA
NPI1780332452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2022-03-12
Last Update Date2022-03-12
Business Address
MR. EDWARD WATERS SIDEBOTTOM LPC
5372 WINDY RIDGE RD
CHARLOTTESVILLE, VA 22903-7359
Phone number: 434-981-2351
Mailing Address
MR. EDWARD WATERS SIDEBOTTOM LPC
5372 WINDY RIDGE RD
CHARLOTTESVILLE, VA 22903-7359
Phone number: 434-981-2351