Individual
CHANEL WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4229 BARDSTOWN RD, SUITE #204, LOUISVILLE, KY 40218
(502) 265-6011
Mailing address
9152 TAYLORSVILLE RD STE 227, LOUISVILLE, KY 40299-1752
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
279715
KY
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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