Individual
TAMIKAH ALYSSA WATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10730 POTRANCO RD STE 122-486, SAN ANTONIO, TX 78251-3327
(210) 970-2126
Mailing address
10730 POTRANCO RD STE 122-486, SAN ANTONIO, TX 78251-3327
(210) 970-2126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
12/01/2022
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