# MS. MARY ROSE WATTIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1952688962
- **Gender:** F
- **Credential:** LMHP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | P-785 | NE | — |
| 101YM0800X | Mental Health Counselor | 3156 | NE | Yes |
| 101YP2500X | Professional Counselor | 1638 | NE | — |
| 146N00000X | Basic Emergency Medical Technician | 8600 | NE | — |

## Other

- **Enumeration date:** 11/05/2011
- **Last updated:** 11/05/2011