Individual
CANDICE SIMONE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
130 W WHITE HORSE PIKE STE B, BERLIN, NJ 08009-2028
(347) 489-4169
Mailing address
606 ABERDEEN LN, BLACKWOOD, NJ 08012-5503
(347) 489-4169
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00629500
NJ
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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