NPI 1093861916
Shannon Marie Waters, MS
Practice location
- Address
- 503 E 23rd St S, Independence, MO 64055-1502
- Phone
- (816) 252-8388
- Fax
- (816) 252-1337
- Mailing address
- 21111 Nall Ave, Bucyrus, KS 66013-9502
Registered specialties (2)
Art Therapist
Primary
Mental Health Counselor
Registry record
- NPI
- 1093861916
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Jan 2007
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.