Individual
HEATHER WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAC
Contact information
Practice address
901 W DOUGLAS AVE, WICHITA, KS 67213-4705
(515) 570-6476
(316) 264-7526
Mailing address
901 W DOUGLAS AVE, WICHITA, KS 67213-4705
(515) 570-6476
(316) 264-7526
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
157
KS
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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