Individual
CLINT PAUL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
898 FM 2200 W, DEVINE, TX 78016-4542
(936) 645-7018
Mailing address
898 FM 2200 W, DEVINE, TX 78016-4542
(936) 645-7018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
68568
TX
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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