Individual
ANTHONY JAMES WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, LICDC
Contact information
Practice address
966 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
Mailing address
966 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162181
OH
101YM0800X
Mental Health Counselor
Primary
E.2303804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294651
—
OH
Enumeration date
05/01/2018
Last updated
04/24/2025
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