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Individual
MRS. EDWYNA ANN WATSON
Active
Individual
MRS. EDWYNA ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9575
TX
101YP2500X
Professional Counselor
Primary
63751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212326701
—
TX
Enumeration date
07/01/2010
Last updated
07/18/2022
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