SCOTT ALLEN WATERS RADT-1 NPI 1699414839

NPI Information

NPI: 1699414839
Provider Name: SCOTT ALLEN WATERS, RADT-1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1100 SPORTFISHER DR
OCEANSIDE, CA
ZIP 92054
Phone: (760) 439-6702
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Scott Allen Waters, RADT-1 is an addiction (substance use disorder) counselor in Oceanside, CA. Scott Allen Waters, RADT-1 NPI is 1699414839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 SPORTFISHER DR
OCEANSIDE, CA
ZIP 92054-550
Phone: (760) 439-6702

The enumeration date for this NPI number is 6/3/2022 and was last updated on 6/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1023146826	OTHER	CALIFORNIA	MEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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