Individual
TERAH REBEKAH WATSON
Active
Individual
TERAH REBEKAH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4155
ME
1041C0700X
Clinical Social Worker
Primary
LC14502
ME
Other
Enumeration date
11/13/2009
Last updated
02/10/2025
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