Provider Demographics
NPI:1952474074
Name:WATTS, DAWN HEATHER (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:HEATHER
Last Name:WATTS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:DAWN
Other - Last Name:WATTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1067 S 500 E STE A202
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-4431
Mailing Address - Country:US
Mailing Address - Phone:801-362-0941
Mailing Address - Fax:
Practice Address - Street 1:1067 S 500 E STE A202
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-4431
Practice Address - Country:US
Practice Address - Phone:801-362-0941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT494482635011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical