Individual
AMANDA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS, SAC-IT
Contact information
Practice address
1331 CAPITOL DR, OCONOMOWOC, WI 53066-5705
(262) 565-5265
Mailing address
1331 CAPITOL DR, OCONOMOWOC, WI 53066-5705
(262) 565-5265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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