Individual
MARIANNE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LISAC
Contact information
Practice address
3864 N 27TH AVE, PHOENIX, AZ 85017-4703
(602) 685-6000
(602) 995-8503
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0612
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
10608
AZ
101YP2500X
Professional Counselor
Primary
12510
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
960179
—
AZ
Enumeration date
05/14/2008
Last updated
12/15/2016
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