Waters, Scott J

Waters, Scott J is an sole proprietor health care provider with primary practice located at 1600 Valley River Dr Ste 103 , Eugene OR 97401-2141. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Waters, Scott J can be contacted via phone (503) 956-3719.

Contact Information

Primary practice address
1600 Valley River Dr Ste 103 Eugene OR 97401-2141
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C4911 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHCA.MC.60501032 Washington

Profile Details

NPI number 1235501388
LBN Legal business name Waters, Scott J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2015
Last updated Nov 18th, 2019 - about 7 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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