Individual
CHANDA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R1527980923
Contact information
Practice address
360 S WESTLAKE AVE, LOS ANGELES, CA 90057-2906
(213) 483-9201
Mailing address
360 S WESTLAKE AVE, LOS ANGELES, CA 90057-2906
(213) 483-9201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1527980923
CA
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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