Organization
JEANNE WATSON
Active
Other names
Appalachian Psychological Trauma Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE WATSON PH.D. (LICENSED PROFESSIONAL COUNSELOR)
(276) 730-0548
Entity
Organization
Contact information
Practice address
408 N MAIN ST, SUITE A, HILLSVILLE, VA 24343-1435
(276) 730-0548
(276) 730-0568
Mailing address
PO BOX 100, HILLSVILLE, VA 24343-0100
(276) 730-0548
(276) 730-0568
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000999
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087093M
SOUTHERN HEALTH
VA
01
—
201692
VALUE OPTIONS
—
01
—
437317
ANTHEM BC/BS
VA
Enumeration date
03/28/2006
Last updated
08/22/2020
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