Individual
MS. AVERY ANISE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MSW, LCAS-A
Contact information
Practice address
2301 RAMA RD, SUIT B, CHARLOTTE, NC 28212-6237
(860) 888-6058
(704) 568-3353
Mailing address
5307 FIRELIGHT LN UNIT G, CHARLOTTE, NC 28212-2210
(860) 888-6058
(704) 563-3353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
20099
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20099
NC
101YM0800X
Mental Health Counselor
20099
NC
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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