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Individual

LASONYA WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1603 CAPITOL AVE STE 415, #743781, CHEYENNE, WY 82001-4562
(888) 664-3253
Mailing address
PO BOX 2025, CONCORD, NC 28026-2025
(888) 664-3253

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL0601199
NC
101YM0800X
Mental Health Counselor
MHL0601199
NC
103K00000X
Behavior Analyst
106E00000X
Assistant Behavior Analyst
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary
374U00000X
Home Health Aide
HC3291
NC

Other

Enumeration date
08/01/2017
Last updated
03/27/2026
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