Individual
MR. JEFFREY DAVID WATROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
76 S FOXHALL LN, WEYERS CAVE, VA 24486-2446
(540) 234-8187
Mailing address
PO BOX 1822, HARRISONBURG, VA 22801-9500
(540) 234-8187
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002463
VA
106H00000X
Marriage & Family Therapist
0717000642
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701002463
LICENSED PROFESSIONAL COUNSELOR
VA
01
—
0717000642
LICENSED MARRIAGE AND FAMILY THERAPIST
VA
Enumeration date
11/05/2008
Last updated
01/06/2009
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