Individual
MELANIE A WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1108 WILBORN AVE, SOUTH BOSTON, VA 24592-3132
(434) 471-1432
(888) 860-6336
Mailing address
1108 WILBORN AVE, SOUTH BOSTON, VA 24592-3132
(434) 471-1432
(888) 860-6336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7260
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104100
—
NC
Enumeration date
01/09/2009
Last updated
01/15/2021
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