SearchWashington1041C0700X

Gary Waters, LCSW, LMFT, LADC

NPI 1548519291 · on the registry since 2012 · sole proprietor

Practice

Address
815 Eureka Dr
Friday Harbor, WA 98250
Phone
(360) 317-4066

Additional practice sites

  • 1117 Spring St, Friday Harbor, WA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
103TS0200X
1041C0700X
1041S0200X
106H00000X
101YA0400X
101YS0200X
106H00000X
Licence states on file
NV, CA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington