Individual
MS. LATICIA GEZELL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
301 W 37TH ST, NEW YORK, NY 10018-4211
(212) 967-0770
(212) 967-5377
Mailing address
301 W 37TH ST, NEW YORK, NY 10018-4211
(212) 967-0770
(212) 967-5377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23006
NY
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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