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Individual
EVA JANE WATTS
Active
Individual
EVA JANE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW,CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2060
NC
101YM0800X
Mental Health Counselor
C005802
NC
104100000X
Social Worker
C005802
NC
1041C0700X
Clinical Social Worker
Primary
C005802
NC
251S00000X
Community/Behavioral Health Agency
C005802
NC
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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