Individual
ANDREW MAURICE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 883-7497
(952) 853-8830
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 883-7497
(952) 853-8830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302388
MN
Other
Enumeration date
11/03/2011
Last updated
07/24/2014
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