Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | C4950 | OR |
N | 101YM0800X | Mental Health Counselor | 8935496-6004-2018091 | UT |
Y | 101YM0800X | Mental Health Counselor | C4950 | OR |
N | 225C00000X | Rehabilitation Counselor | 00116673 |
NPI | 1144708009 |
---|---|
Provider Name | Dr. Maria Watters |
First Address | Hillsboro, OR 97124-6509 |
Second Address | Hillsboro, OR 97124-8402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2018 |
Last Update Date | 19/09/2018 |