Individual
MICAH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 435-0817
Mailing address
211 S HUBBARDS LN, LOUISVILLE, KY 40207-4004
(972) 921-0349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
246778
KY
Other
Enumeration date
07/31/2013
Last updated
09/06/2019
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