Individual
TESSA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
638 N 2400 W, WEST POINT, UT 84015-4819
(801) 900-3004
Mailing address
PO BOX 711083, SALT LAKE CITY, UT 84171-1083
(801) 662-8050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8920668-6009
UT
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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