Individual
JOHN CHARLES WATSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413
Mailing address
16647 WYOMING ST, DETROIT, MI 48221-2848
(313) 342-3606
(313) 861-0413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6802074426
MI
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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