Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MIRANDA WATERS
ActiveKELLY MIRANDA WATERS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ROCK ISLAND, Illinois. NPI 1093273542 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ROCK ISLAND, IL
Registration Details
- NPI Number
- 1093273542
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2019 (7.4235767437513 yrs)
- Last Updated
- Mar 4, 2019
Practice Information
- Address
-
2701 17TH STROCK ISLAND, IL, 612015351Browse IL providers · Browse ZIP 61201
- Phone
- 3097792031
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in ROCK ISLAND, IL
| Name | Credential | NPI |
|---|---|---|
| RITA STERLING | MCJ, CADC, CPS | 1033549720 |
| AMETRA CARROL-CASTANEDA | CADC | 1992259584 |
| CHARLES MICKEL HARRIS | — | 1780190165 |
| JOSH MARK HIRST | CADC | 1164930772 |
| DWAYNE HODGES | — | 1265930283 |
| DEBBIE ANN SWAFFORD | TCADC | 1174019749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.