Individual
MICHAEL FLOYD WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1205 NORTH AVENUE, BURLINGTON, VT 05408
(802) 860-6203
Mailing address
139 KILLARNEY DR, BURLINGTON, VT 05408-2703
(802) 658-1244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000035
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008006
—
VT
Enumeration date
08/21/2006
Last updated
11/08/2013
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