Individual
CORY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 8TH ST, DES MOINES, IA 50309-1539
(515) 697-5700
Mailing address
620 8TH ST, DES MOINES, IA 50309-1539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09148
IA
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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