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

Kelly Miranda Waters

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093273542

Kelly Miranda Waters is an Addiction (Substance Use Disorder) Counselor in Rock Island, Illinois. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2701 17th St
Rock Island, IL 61201-5351
Phone: (309) 779-2031
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1093273542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2019
Last updated in NPPESMarch 4, 2019

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