Individual
KATHY ANN WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2717 BROOKRIDGE AVE, CRYSTAL, MN 55422-3311
(763) 544-1045
Mailing address
2717 BROOKRIDGE AVE, CRYSTAL, MN 55422-3311
(763) 544-1045
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2161
MN
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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