Individual
ANDREA MARIE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2235 MANSFIELD RD, MANSFIELD, TN 38236-2617
(951) 603-4344
Mailing address
2235 MANSFIELD RD, MANSFIELD, TN 38236-2617
(951) 603-4344
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
106692
CA
106H00000X
Marriage & Family Therapist
1717
TN
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477962306
—
CA
Enumeration date
08/05/2014
Last updated
07/26/2021
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