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MRS. KATHARINE I WAITT LCSW, LCAS

Addiction Substance Use Disorder

Aberdeen, North Carolina

Provider NPI: 1073512323

Provider Information:
MRS. KATHARINE I WAITT LCSW, LCAS
Gender: F
Not Sole Proprietor

Practice Location:
206 N PINE ST  ABERDEEN, NC 28315 US
Tel: 910-944-2189  Fax: 910-944-7443

Business Mailing Address:
108 N ORANGE AVE  DUNN, NC 28334 US
Tel: 910-891-7062  Fax: 910-892-3764

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
NC1160
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
NCC004985

Other Provider Identifiers:

IssuerNumberStateType
LCAS LICENSE NBR.1160NC01
LCSW CERTIFICATION NBR.C004985NC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







ADDICTION JOBS NC - Page 1



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