Individual
MRS. JACLYN WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
2150 S COUNTRY CLUB DR STE 41, MESA, AZ 85210-6886
(480) 497-4040
Mailing address
2150 S COUNTRY CLUB DR STE 41, MESA, AZ 85210-6886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-13662
AZ
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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