Individual
BARRY A WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
3852 N EAGLE RD, SUITE 168, BOISE, ID 83713-0750
(208) 378-0014
(208) 378-7342
Mailing address
3852 N EAGLE RD, SUITE 168, BOISE, ID 83713-0750
(208) 378-0014
(208) 378-7342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-4
ID
101YP2500X
Professional Counselor
Primary
LCPC-4
ID
Other
Enumeration date
09/02/2006
Last updated
09/11/2025
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