Individual
JAMES RAYMOND WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
9575 ETHAN WADE WAY SE, SNOQUALMIE, WA 98065-9577
(425) 831-5425
(425) 831-5428
Mailing address
PO BOX 969, ATTN JAMES WATTS, SNOQUALMIE, WA 98065-0969
(425) 831-5425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61101667
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2220356
—
WA
Enumeration date
05/16/2020
Last updated
02/03/2023
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