Individual
LEMONICA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 N 31ST AVE STE B109, PHOENIX, AZ 85051-9586
(678) 512-9085
Mailing address
10000 N 31ST AVE STE B109, PHOENIX, AZ 85051-9586
(678) 512-9085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NONE
—
Enumeration date
10/13/2021
Last updated
03/29/2022
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