| Doctor Name: | MS. MARY MAGDALENE WATTS |
| NPI Number: | 1295915882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | |
| Business Practice Address: | 1539 Sweetie Smith Rd Ashford, AL - 363127422 |
| Business Phone Number: | 3346908030 |
| Business Fax Number: | 3346918029 |
| Mailing Address: | 2694 S Park Ave, DOTHAN |
| State: | AL |
| Postal Code: | 363014904 |
| Phone Number: | 3347122720 |
| Fax Number: | 3347122727 |
| NPI Enumeration Date: | 11/12/2007 |
| NPI Last Update Date: | 11/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |