# MARLO WATSON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932523032
- **Authorized official:** MS. MARLO R WATSON LCAS (SUBSTANCE ABUSE COUNSELOR)
- **Authorized official phone:** (919) 889-1559

## Contact information

- **Practice address:** 2101 GARNER RD, RALEIGH, NC 27610-4687
- **Practice address phone:** (919) 889-1559
- **Mailing address:** 702 NEUSE RIDGE DR, CLAYTON, NC 27527-6692
- **Mailing address phone:** (919) 889-1559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 2969 | NC | Yes |

## Other

- **Enumeration date:** 02/10/2014
- **Last updated:** 02/10/2014