Individual
DR. AUDREY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
108 W FIRE TOWER RD, STE E, WINTERVILLE, NC 28590-8371
(252) 752-5555
(252) 752-5455
Mailing address
60 COMMERCE PLAZA CIR, SUITE A, PEMBROKE, NC 28372-7386
(910) 521-2900
(910) 775-9165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CSAC-20068
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
44001010
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C7LC00203000
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-23050
NC
Other
Enumeration date
08/06/2014
Last updated
12/30/2016
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