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Individual

MRS. JAMIE K WATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CADC

Contact information

Practice address
9209 TRENTHAM LN, LOUISVILLE, KY 40242-3384
(502) 425-8607
Mailing address
9209 TRENTHAM LN, LOUISVILLE, KY 40242-3384

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KY-0883
KY
1041C0700X
Clinical Social Worker
Primary
KY-1768
KY

Other

Enumeration date
10/29/2007
Last updated
10/29/2007
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