Individual
MS. SHERRY LORRAINE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1550 IRVING ST SW STE 301, TUMWATER, WA 98512-6362
(360) 870-9252
Mailing address
1550 IRVING ST SW STE 301, TUMWATER, WA 98512-6362
(360) 870-9252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00002667
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
10/29/2015
Last updated
08/06/2019
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