Individual
BETHANY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1360 E LASSEN AVE, CHICO, CA 95973-7823
(530) 267-1717
Mailing address
1360 E LASSEN AVE, CHICO, CA 95973-7823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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