Provider Demographics
NPI:1053148718
Name:WATTS, NATALIE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:WATTS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25822 WILDERNESS WAY
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-2606
Mailing Address - Country:US
Mailing Address - Phone:949-939-4532
Mailing Address - Fax:
Practice Address - Street 1:25822 WILDERNESS WAY
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-2606
Practice Address - Country:US
Practice Address - Phone:949-939-4532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA139029106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist