Individual
MS. GRETCHEN B WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1410 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 298-1661
Mailing address
1410 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 298-1661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3039
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158788
BLUE CROSS BS PROVIDER #
TN
Enumeration date
01/02/2007
Last updated
07/08/2007
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