Individual
MS. BEVERLY A WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 E 7TH ST, LONG BEACH, CA 90804-4932
(562) 987-5742
(562) 438-6891
Mailing address
3125 E 7TH ST, LONG BEACH, CA 90804-4932
(562) 987-5742
(562) 438-6891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190077AHN
—
CA
Enumeration date
12/27/2007
Last updated
12/27/2007
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