Individual
KIMBERLY ANNE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3864 N 27TH AVE, PHOENIX, AZ 85017-4703
(602) 797-7000
Mailing address
15402 S 18TH DR, PHOENIX, AZ 85045-1833
(270) 804-8607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18251
AZ
101YM0800X
Mental Health Counselor
PROCOUPCC00211342
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100324490
—
KY
Enumeration date
10/13/2009
Last updated
12/05/2019
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