Individual
BRANDI WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1621 SUTTER PLACE, 300 E. 1ST, CLOVIS, NM 88101
(575) 437-2453
Mailing address
1100 W. 21ST, CLOVIS, NM 88101
(575) 769-2345
(575) 769-9013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0165331
NM
Other
Enumeration date
07/01/2014
Last updated
10/23/2015
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