Individual
KRISTI WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S LCADC, CCTP, BIP
Contact information
Practice address
1000 E JOHN ROWAN BLVD STE 107, BARDSTOWN, KY 40004
(502) 331-6002
(502) 331-6122
Mailing address
89 INDIAN SPRINGS TRCE, SHELBYVILLE, KY 40065-8359
(502) 827-9797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
167170
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADCADC00223243
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100459000
—
KY
Enumeration date
09/21/2015
Last updated
08/24/2021
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