Individual
MRS. JEANETTE D WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7954 BALTIMORE ANNAPOLIS BLVD STE 2C, GLEN BURNIE, MD 21060-8187
(410) 487-6052
Mailing address
7954 BALTIMORE ANNAPOLIS BLVD STE 2C, GLEN BURNIE, MD 21060-8187
(410) 487-6052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC9009
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/17/2018
Last updated
09/17/2018
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