Individual
JENNIFER JEAN WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
8123 GRAND RIVER RD, BRIGHTON, MI 48114-9464
(517) 518-2503
Mailing address
11638 CHASE LAKE RD, WEBBERVILLE, MI 48892-9522
(517) 518-2503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015207
MI
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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