Individual
MR. JERRY C WATKINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2410 CHARLOTTE AVE, NASHVILLE, TN 37203-1517
(615) 321-2575
Mailing address
2410 CHARLOTTE AVE, NASHVILLE, TN 37203-1517
(615) 321-2575
(615) 321-2575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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