Watts, Gannon Joe
Watts, Gannon Joe is an sole proprietor health care provider with primary practice located at 203 W Main St Ste 101 , New Iberia LA 70560-3795. He 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 his primary health care specialty. Watts, Gannon Joe can be contacted via phone (337) 251-6503.Contact Information
Primary practice address
203 W Main St Ste 101
New Iberia LA 70560-3795
Phone: (337) 251-6503
Fax: (337) 367-7850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1273 | Louisiana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3771 | Louisiana |
Profile Details
| NPI number | 1215264825 |
|---|---|
| LBN Legal business name | Watts, Gannon Joe |
| Credentials | LPC, LAC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2009 |
| Last updated | Nov 3rd, 2009 - about 17 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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