Individual
DIANNA MARIE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
80 KY HWY 2227, SOMERSET, KY 42503
(606) 485-4003
Mailing address
80 KY HWY 2227, SOMERSET, KY 42503
(606) 485-4003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
274624
KY
101YP2500X
Professional Counselor
Primary
289888
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100966400
—
KY
Enumeration date
05/19/2022
Last updated
11/13/2024
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