Individual
MELISSA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
809 PARKLAND DR, CLOVIS, NM 88101-4474
(575) 935-2700
Mailing address
2325 HAPPY LN, CLOVIS, NM 88101-8634
(575) 693-4001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005469
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202
—
NM
Enumeration date
09/16/2015
Last updated
09/16/2015
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