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Individual

MRS. JILL ANN WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CTT

Contact information

Practice address
547 1/2 S JAMES ST, STE. A, DOVER, OH 44622-2137
(330) 343-7400
(330) 343-7414
Mailing address
PO BOX 534, NEW PHILADELPHIA, OH 44663-0534
(330) 343-7400
(330) 343-7414

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0900192
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3065883
OH
Enumeration date
01/21/2010
Last updated
02/16/2016
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