Individual
MS. MARY EDITH WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CCMHC, NCC
Contact information
Practice address
804 S GARNETT ST, HENDERSON, NC 27536-4571
(252) 438-2994
(252) 438-6594
Mailing address
804 S GARNETT ST, HENDERSON, NC 27536-4571
(252) 438-2994
(252) 438-6594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC #374
NC
101YP2500X
Professional Counselor
Primary
LPC #374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032581
TRIGON BC/BS
NC
01
—
053551000
MAGELLAN EAP
NC
01
—
057499
HORIZON EAP AND INS
NC
01
—
16802
PARTNERS
NC
01
—
17185
UBH & UHC EAP, MC AND IN
NC
01
—
20405
MAGELLAN INS AND MAN CAR
NC
01
—
32581
ANTHEM INS
NC
01
—
4274855
AETNA INS
NC
01
—
46571
FEI EAP AND INS
NC
01
—
85940
BC/BS INS
NC
Enumeration date
05/24/2006
Last updated
07/08/2019
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