Individual
STACIE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMFT
Contact information
Practice address
520 S HOLLAND ST, SUITE 401, WICHITA, KS 67209-2096
(316) 729-9965
Mailing address
520 S HOLLAND ST, STE 401, WICHITA, KS 67209-2096
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT 753
KS
Other
Enumeration date
09/05/2012
Last updated
11/06/2012
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