Individual
BRANDON WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
832 MAGNOLIA TRL, DESOTO, TX 75115-1501
(214) 641-1262
Mailing address
832 MAGNOLIA TRL, DESOTO, TX 75115-1501
(214) 641-1262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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