Individual
MICHELLE RENEE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
422 BAYSHORE ST, SHELL KNOB, MO 65747-8188
(417) 231-7205
Mailing address
PO BOX 387, SHELL KNOB, MO 65747-0387
(417) 231-7205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018045590
MO
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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