Individual
DEBORAH WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 5TH AVE STE 150, SAN RAFAEL, CA 94901-2928
(415) 457-6964
Mailing address
PO BOX 751553, PETALUMA, CA 94975-1553
(903) 305-8453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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