Provider Information for 1407509581
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LYNDA JEANETTE WATT MS, LPC, NCC
Sex: Female
NPI: 1407509581
Last Updated: 2022-01-30
Certification Date: 2022-01-30
Certification Date: 2022-01-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1407509581 | ||||||||
| Enumeration Date | 2022-01-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11429 W MISSION POINTE DR NAMPA, ID 83651-8237 United States Phone: 208-850-0070 | Fax: | ||||||||
| Primary Practice Address | 11429 W MISSION POINTE DR NAMPA, ID 83651-8237 United States Phone: 208-850-0070 | Fax: | ||||||||
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