Individual provider · Type 1 NPI

Sara Watts

Professional Counselor · Rockford, IL

NPI number 1407138159 Active

Practice location

1021 N Mulford Rd
Rockford, IL 61107

Mailing address

3201 W Wabansia Ave # 3B
Chicago, IL 60647-4936

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X1407138159 (IL)
Professional Counselor Primary 101YP2500X178008663 (IL)

Professional Counselor: Definition to come...

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About NPI 1407138159

Sara Watts's National Provider Identifier is 1407138159, issued on Sep 19, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on May 12, 2018.