Provider Demographics
NPI:1548368368
Name:WATTS, DENA (LPC)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:
Last Name:WATTS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SPRING MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9003
Mailing Address - Country:US
Mailing Address - Phone:828-545-0109
Mailing Address - Fax:
Practice Address - Street 1:12 1/2 WALL ST
Practice Address - Street 2:SUITE II
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2724
Practice Address - Country:US
Practice Address - Phone:828-545-0109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103320Medicaid