Individual
KRISTEN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E LANE ST, BROOKLET, GA 30415-6242
(912) 615-4195
Mailing address
129 E LEE ST, BROOKLET PO BOX 344, BROOKLET, GA 30415-0344
(912) 615-4195
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5127
TN
101YP2500X
Professional Counselor
Primary
67252
TX
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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