Individual
GREG JAY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5999 W STATE ST, BOISE, ID 83703-5059
(208) 853-5095
(208) 853-5125
Mailing address
5999 W STATE ST, BOISE, ID 83703-5059
(208) 853-5095
(208) 853-5125
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4876
ID
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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