Waters, Mark O

Waters, Mark O is an individual health care provider with primary practice located at 112 Arbor Ln , Alpena MI 49707-1302. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Waters, Mark O can be contacted via phone (989) 340-2131.

Contact Information

Primary practice address
112 Arbor Ln Alpena MI 49707-1302
Phone: (989) 340-2131
Fax: (989) 340-2168
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C-03793 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401015528 Michigan

Profile Details

NPI number 1740636745
LBN Legal business name Waters, Mark O
Credentials LPC, CAADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2016
Last updated Feb 11th, 2020 - about 6 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.

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