Kelly Miranda Waters, - Counselor in Rock Island, IL

Kelly Miranda Waters, is a Counselor - Addiction (substance Use Disorder) based in Rock Island, Illinois. Kelly Miranda Waters is licensed to practice in * (Not Available) (license number ) and her current practice location is 2701 17th St, Rock Island, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 779-2031.

NPI number for Kelly Miranda Waters is 1093273542 and her current mailing address is 2701 17th St, Rock Island, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093273542.

Contact Information

Kelly Miranda Waters,
2701 17th St,
Rock Island, IL 61201-5351
(309) 779-2031
Not Available

Healthcare Provider's Profile

Full NameKelly Miranda Waters
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2701 17th St, Rock Island, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093273542
  • Provider Enumeration Date: 03/04/2019
  • Last Update Date: 03/04/2019

Medical Identifiers

Medical identifiers for Kelly Miranda Waters such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093273542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Miranda Waters is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Miranda Waters,
2701 17th St,
Rock Island, IL 61201-5351

Ph: (309) 779-2031
Kelly Miranda Waters,
2701 17th St,
Rock Island, IL 61201-5351

Ph: (309) 779-2031

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› Verified 6 days ago


Counselor in Rock Island, IL

Amber Leanne Cozad,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2701 17th St, Rock Island, IL 61254
Phone: 309-779-2031    
Ibrahim K Tarawneh, BA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2701 17th St, Rock Island, IL 61201
Phone: 309-779-3006    
Rita Sterling, MCJ, CADC, CPS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 211 19th St, Department Of Veterans Affairs, Ste. M2, Rock Island, IL 61201
Phone: 309-786-3591    Fax: 309-786-5135
Brandon Alan Kutmas, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4709 44th St Ste 5, Rock Island, IL 61201
Phone: 309-306-1648    Fax: 309-213-9438
Jill Jaster, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2701 17th St, Rock Island, IL 61201
Phone: 309-779-2031    
Amber Michelle Winters,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2701 17th St, Rock Island, IL 61201
Phone: 309-779-2031    
Natividad Keim,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4703 44th St, Rock Island, IL 61201
Phone: 309-786-0770    

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