Individual
BRYCE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW, CSW
Contact information
Practice address
900 BEASLEY ST STE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075
Mailing address
900 BEASLEY ST STE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7452
KY
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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