Waters, Suzanna Jolene

Waters, Suzanna Jolene is an individual health care provider with primary practice located at 2463 E Gala St Ste 100 , Meridian ID 83642-5210. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Waters, Suzanna Jolene can be contacted via phone (208) 955-7333.

Contact Information

Primary practice address
2463 E Gala St Ste 100 Meridian ID 83642-5210
Phone: (208) 955-7333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-203922 Idaho
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-6424 Idaho

Profile Details

NPI number 1275965881
LBN Legal business name Waters, Suzanna Jolene
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2013
Last updated Apr 9th, 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.

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