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NPI Code Detail

MEDICARE: KRISTIE LEIGH WATTS LMFT

MEDICARE: KRISTIE LEIGH WATTS 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 Therapist35001808AIN

General Provider Information

NPI Number : 1174956882
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIE LEIGH WATTS LMFT
Provider Business Mailing Address
First Line : 211 WESTMINSTER DR
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-4243
Country : US
Telephone Number : 317-435-7651
Fax Number :
Provider Business Practice Location Address
First Line : 7425 E 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1207
Country : US
Telephone Number : 317-474-6448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2013
Last Update Date : 08/16/2013

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Directions to “ KRISTIE LEIGH WATTS LMFT” Practice Location

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