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NPI Code Detail

MEDICARE: MS. VONZELLA LOVE WATSON LMFT

MEDICARE:  MS. VONZELLA LOVE WATSON  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist2330KS

General Provider Information

NPI Number : 1518235688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VONZELLA LOVE WATSON LMFT
Provider Business Mailing Address
First Line : 8014 STATE LINE RD
Second Line : SUITE 112
City : PRAIRIE VILLAGE
State : KS
Zip : 66208-3723
Country : US
Telephone Number : 913-534-8575
Fax Number :
Provider Business Practice Location Address
First Line : 8014 STATE LINE RD
Second Line : SUITE 112
City : PRAIRIE VILLAGE
State : KS
Zip : 66208-3723
Country : US
Telephone Number : 913-534-8575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2011
Last Update Date : 01/10/2012

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Directions to “ MS. VONZELLA LOVE WATSON LMFT” Practice Location

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