Individual
DR. JO-ELLEN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. , LICSW
Contact information
Practice address
505 S ASH ST APT 120, BOISE, ID 83702-6938
(206) 715-2733
Mailing address
505 S ASH ST APT 120, BOISE, ID 83702-6938
(206) 715-2733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCSW-40458
ID
101YM0800X
Mental Health Counselor
Primary
LW00008179
WA
1041C0700X
Clinical Social Worker
LCSW-40458
ID
1041C0700X
Clinical Social Worker
Primary
LW00008179
WA
Other
Enumeration date
05/15/2025
Last updated
01/29/2026
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