Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Lyn Waters, LCMHCA

Individual provider Professional Counselor · NPI 1730893983

Jessica Lyn Waters, LCMHCA is a Professional Counselor in Davidson, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

705 Peninsula Dr
Davidson, NC 28036-7200
Phone: (704) 237-4042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A18438 (NC)

Record details

NPI number1730893983
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA
Sole proprietorYes
NPI enumeratedJanuary 12, 2023
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

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