Individual
RYAN KEITH WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1901 MEDI PARK DR STE 2058, AMARILLO, TX 79106-2109
(806) 418-8900
Mailing address
1901 MEDI PARK DR STE 2058, AMARILLO, TX 79106-2109
(806) 418-8900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942823-01
—
TX
Enumeration date
07/09/2008
Last updated
06/25/2013
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