Most Relevant Information
Provider Data
| NPI Number: | 1003351529 |
| Provider Name: | MISTY WATTS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/20/2016 |
| Last Updated: | 12/20/2016 |
Provider Practice Location
2210 N ELDORADO AVE
KLAMATH FALLS
OR
976016418
Practice Location Phone/Fax
| Phone: | 5418831030 |
| Fax: | 5418842338 |
Provider Mailing Location
2210 N ELDORADO AVE
KLAMATH FALLS
OR
976016418
Provider Mailing Phone/Fax
| Phone: | 5418831030 |
| Fax: | 5418842338 |