Individual
SHANNON WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1930 S ALMA SCHOOL RD STE A206, MESA, AZ 85210-3066
(480) 779-9050
Mailing address
1930 S ALMA SCHOOL RD STE A206, MESA, AZ 85210-3066
(480) 779-9050
(480) 717-4025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-21947
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-23636
AZ
Other
Enumeration date
12/01/2025
Last updated
03/17/2026
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