Individual
SHELLY WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 S ALAFAYA TRL STE 17, ORLANDO, FL 32828-8984
(407) 275-0745
(407) 275-0829
Mailing address
422 S ALAFAYA TRAIL 17, ORLANDO, FL 32828
(407) 275-0745
(407) 275-0829
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH8456
FL
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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