Individual
KRISTEN SHANNON WATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
607 WASHINGTON ST., WASHINGTON, NC 27892
(252) 792-8035
Mailing address
116 CHOWAN SHORES DR, COLERAIN, NC 27924-9320
(252) 267-8445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A17199
NC
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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