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

Mr. Michael Derek Waters, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316505100

Mr. Michael Derek Waters, RADT is an Addiction (Substance Use Disorder) Counselor in Campo, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone: (619) 478-5696
Fax: (619) 478-2404
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 · Licence R1349930619 (CA)

Record details

NPI number1316505100
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 5, 2019
Mailing address1777 Buckman Springs Rd, Campo, CA 91906-2022

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