REBECCA CHAROLOTTE ROSE WATEROUS


Address: 3050 Armstrong St, San Diego, CA 92111-5702
Phone: 8584676700

REBECCA CHAROLOTTE ROSE WATEROUS (NPI# 1093953853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093953853
Entity Type Individual
Full Name REBECCA CHAROLOTTE ROSE WATEROUS
Credential BSW
Practice Address 3050 Armstrong St
San Diego
CA 92111-5702
Mailing Address 8036 Hummingbird Ln
San Diego
CA 92123-2723
Practice Telephone 8584676700
Mailing Telephone 6192614855
Enumeration Date 2009-01-30
Last Update Date 2009-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 3050 ARMSTRONG ST
City SAN DIEGO
State CA
Zip Code 92111-5702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740401157 Center Point, Inc. Substance Abuse Rehabilitation Facility 3050 Armstrong St, San Diego, CA 92111-5702 2007-05-01
1891935847 Debra Elaine Cosby-mcfarland Counselor 3050 Armstrong St, San Diego, CA 92111-5702 2009-03-04
1861630675 Krystal Kinley Counselor 3050 Armstrong St, San Diego, CA 92111-5702 2009-02-02
1629230560 Estella Marquez Counselor 3050 Armstrong St, San Diego, CA 92111-5702 2008-07-01
1457513863 Doris W Kamau Counselor 3050 Armstrong St, San Diego, CA 92111-5702 2008-06-26
1205094182 Norma G Bianchi Counselor 3050 Armstrong St, San Diego, CA 92111-5702 2008-05-28
1730354838 Trina Marie Littleton Counselor 3050 Armstrong St, San Diego, CA 92111-5702 2008-04-29
1255506689 Cynthia Mcdonald Grunbaum Counselor 3050 Armstrong St, San Diego, CA 92111-5702 2008-04-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982220653 Karen Elizabeth Mitchell Registered Nurse County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 2020-06-18
1912523804 Access Medical, Inc. Durable Medical Equipment & Medical Supplies 4150 Convoy Street, Suite A, San Diego, CA 92111 2020-06-17
1154944551 Mei Ling Milan Szeto Student in an Organized Health Care Education/Training Program 7917 Ostrow Street, Suite A, San Diego, CA 92111 2020-05-20
1346893831 Leticia Isabel Peralta Assistant Behavior Analyst 563 Balboa Avenue. Number 521, San Diego, CA 92111 2019-07-23
1295204394 Demetria Serfas Behavioral Analyst 563 Balboa Ave #521, San Diego, CA 92111 2018-11-19
1568981678 Ross Psychology Psychologist 4883 Ronson Court, Suite K, San Diego, CA 92111 2017-09-11
1225554587 Bianca Acosta Technician, Other 563 Balboa Ave. #521, San Diego, CA 92111 2017-08-18
1194240085 Kazuhiro Kato Dentist 3707 Convoy St., San Diego, CA 92111 2017-08-11
1073038527 Joanne Epps-yentz Licensed Vocational Nurse 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 2017-08-06
1184158446 Positive Behavior Supports Corp Community/Behavioral Health 563 Balboa Ave, 521, San Diego, CA 92111 2017-04-13
Find all providers in zip 92111

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053910901 Eduardo Alberto Perez Counselor 8829 Dewsbury Ave, San Diego, CA 92126-2428 2020-10-21
1477166734 Laura Aida Andrade Counselor 4125 Wabash Ave, San Diego, CA 92104-2124 2020-08-26
1679113096 David Salvador Avalos Counselor 3642 Rosa Linda St, San Diego, CA 92154-3653 2020-01-14
1023651692 Robert Joseph Kassel Counselor 6551 Seaman St, San Diego, CA 92120-2629 2019-10-25
1609437979 Pamela Lynette Hill Counselor 3960 W Point Loma Blvd, San Diego, CA 92110-5643 2019-06-26
1154989838 Victoria Philips Counselor 4055 58th St Apt 10, San Diego, CA 92115-6209 2019-05-29
1740847375 Jessica Cristina Williams Counselor 1775 Elm Ave, San Diego, CA 92154-1104 2019-05-20
1659934164 Virginia Denise Mcswain Counselor 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 2019-04-19
1386107324 Connie Padera Counselor 3148 Midway Dr # 113, San Diego, CA 92110-4539 2019-04-08
1154891067 Vincent Garside Counselor 2516 A Sreet, San Diego, CA 92102-9210 2018-12-04
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92111

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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