Waterman, Kristen
Waterman, Kristen is an sole proprietor health care provider with primary practice located at 2104 Collier Corporate Pkwy , Saint Charles MO 63303-6708. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Waterman, Kristen can be contacted via phone (636) 422-0303.Contact Information
Primary practice address
2104 Collier Corporate Pkwy
Saint Charles MO 63303-6708
Phone: (636) 422-0303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC2013002022 | Missouri |
Profile Details
| NPI number | 1780922476 |
|---|---|
| LBN Legal business name | Waterman, Kristen |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2013 |
| Last updated | Jan 2nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780922476 | NPPES |
| Missouri | MEDICAID | 490002701 |
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