Individual
DONNA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 DEWEY AVE, POTEAU, OK 74953-4224
(918) 649-0909
Mailing address
205 DEWEY AVE, POTEAU, OK 74953-4224
(918) 649-0909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/20/2010
Last updated
02/14/2012
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