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Individual

GANNON JOE WATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LAC, NCC

Contact information

Practice address
203 W MAIN ST STE 101, NEW IBERIA, LA 70560-3795
(337) 251-6503
(337) 367-7850
Mailing address
PO BOX 9685, NEW IBERIA, LA 70562-9685
(337) 251-6503
(337) 367-7850

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1273
LA
101YP2500X
Professional Counselor
Primary
3771
LA

Other

Enumeration date
11/03/2009
Last updated
11/03/2009
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