Individual
DR. PHILIP ALLEN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 FROG HOLLER LN, AUGUSTA, ME 04330-0453
(207) 458-4403
Mailing address
12 FROG HOLLER LN, AUGUSTA, ME 04330-0453
(207) 458-4403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC525
ME
101YP1600X
Pastoral Counselor
Primary
LP508
ME
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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