Individual
MR. JONATHAN P. WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C
Contact information
Practice address
220 HARTFORD TPKE, VERNON, CT 06066-4701
(860) 882-3406
(860) 643-7542
Mailing address
1762 MANCHESTER RD, GLASTONBURY, CT 06033-1832
(860) 882-3406
(860) 643-7542
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001189
LPC LICENSE NUMBER
CT
Enumeration date
09/21/2006
Last updated
07/08/2007
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