Watiti, Judith

Watiti, Judith is an sole proprietor health care provider with primary practice located at 16040 Hayes Ln , Woodbridge VA 22191-4537. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Watiti, Judith can be contacted via phone (254) 702-1463.

Contact Information

Primary practice address
16040 Hayes Ln Woodbridge VA 22191-4537
Phone: (254) 702-1463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11172 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006784 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 49234 Texas

Profile Details

NPI number 1780119503
LBN Legal business name Watiti, Judith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2017
Last updated Apr 30th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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