Mr. Todd Bantom Waters, MSNCC
Mr. Todd Bantom Waters, MSNCC is a Mental Health Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
8220 Castor AvePhiladelphia, PA 19152-2729
Phone: (215) 554-4469
Fax: (215) 745-6511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1578968103 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSNCC |
| Sole proprietor | No |
| NPI enumerated | October 24, 2014 |
| Last updated in NPPES | October 24, 2014 |
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