Watts, Vanessa Lane

Watts, Vanessa Lane is an sole proprietor health care provider with primary practice located at 505 University Dr E Ste. 501, College Station TX 77840-5901. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Watts, Vanessa Lane can be contacted via phone (979) 571-8857.

Contact Information

Primary practice address
505 University Dr E Ste. 501 College Station TX 77840-5901
Fax: (979) 314-9993
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 65841 Texas

Profile Details

NPI number 1164731105
LBN Legal business name Watts, Vanessa Lane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2010
Last updated May 8th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164731105 NPPES
Texas Other 65841 TEXAS LICENSE

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