Individual
SHANA LYNN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6767 FOREST HILL AVE, SUITE 301, RICHMOND, VA 23225-1856
(804) 901-7823
(804) 901-7823
Mailing address
6767 FOREST HILL AVE, SUITE 301, RICHMOND, VA 23225-1856
(804) 901-7823
(804) 901-7823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1640
VA
Other
Enumeration date
08/08/2011
Last updated
08/30/2011
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