Carl Edwin Waters
Peer Specialist in Bowling Green, KY. Individual provider (NPI-1).
NPI number1629942016
StatusActive
Last updated in NPPESSep 30, 2025
Details
- NPI
- 1629942016
- Entity type
- Individual (NPI-1)
- Name
- Carl Edwin Waters
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2025
- Certification date
- Sep 30, 2025
- Last updated
- Sep 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
822 Woodway StBowling Green, KY 42101-2771
Phone 270-901-5000
Mailing address
380 Suwannee Trail StBowling Green, KY 42103-7956
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All 75 Peer Specialist providers in Bowling Green · All 3,685 providers in Bowling Green
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