Individual
COURTNEY A WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC INTERN, CHT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R6874
OR
101YM0800X
Mental Health Counselor
R6874
OR
101YP2500X
Professional Counselor
Primary
R6874
OR
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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