Provider Demographics
NPI:1063915197
Name:WATTS, ALESHIA ANN (LPCC)
Entity type:Individual
Prefix:
First Name:ALESHIA
Middle Name:ANN
Last Name:WATTS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 630
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41702-0630
Mailing Address - Country:US
Mailing Address - Phone:606-487-0351
Mailing Address - Fax:606-439-0364
Practice Address - Street 1:14 LOGAN DRIVE
Practice Address - Street 2:
Practice Address - City:JEFF
Practice Address - State:KY
Practice Address - Zip Code:41751
Practice Address - Country:US
Practice Address - Phone:606-487-0351
Practice Address - Fax:606-439-0364
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY240552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional