Individual
DR. MILDRED WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSD, LPC, CPCS
Contact information
Practice address
8303 OFFICE PARK DR STE B, DOUGLASVILLE, GA 30134-6935
(678) 838-8333
Mailing address
8303 OFFICE PARK DR STE B, DOUGLASVILLE, GA 30134-6935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC7950
GA
Other
Enumeration date
10/02/2018
Last updated
07/30/2019
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