Connie A Watts, MS, LCMFT
Individual provider Active NPI Marriage & Family Therapist · Medicine Lodge, KS
NPI 1477860849 · NPPES record last updated Sep 8, 2010
Key facts
- NPI
- 1477860849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 288 (KS)
- Practice address
- 108 E 2ND Ave
Medicine Lodge, KS 67104-1306 - Phone
- (620) 213-1016
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288 | KS | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 288 | KS | Yes |
Addresses
Primary practice location
108 E 2ND Ave
Medicine Lodge, KS 67104-1306
Mailing address
205 S Walnut St
Medicine Lodge, KS 67104-1418
Phone (620) 213-1016
Other providers in Medicine Lodge, KS
- Medicine Lodge Memorial Hospital
- Medicine Lodge Memorial Hospital
- Medicine Lodge Memorial Hospital Physicians Clinc
- Donald R. Ransom
- Julie Theresa Thompson
All providers in Medicine Lodge, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.