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NPI Code Detail

MEDICARE: MRS. JENNIFER WATTS LAPC

MEDICARE: MRS. JENNIFER WATTS LAPC
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
1101YM0800XMental Health CounselorGA

General Provider Information

NPI Number : 1447103700
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER WATTS LAPC
Provider Business Mailing Address
First Line : 901 26TH ST
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-4023
Country : US
Telephone Number : 918-208-1216
Fax Number :
Provider Business Practice Location Address
First Line : 2301 BROOKSTONE CENTRE PKWY STE 200
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-9219
Country : US
Telephone Number : 706-940-5677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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