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Individual

HEATHER A WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6500
(515) 643-6598
Mailing address
1409 CLARK ST, DES MOINES, IA 50314-1964
(515) 643-6500
(515) 643-6598

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T16070
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0177394
IA
01
68236
WELLMARK
IA
Enumeration date
06/08/2016
Last updated
04/13/2018
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