Individual
LISA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Contact information
Practice address
843 N WASHINGTON AVE, EMMETT, ID 83617-5076
(208) 365-3141
(208) 398-8311
Mailing address
PO BOX 795, EMMETT, ID 83617
(208) 365-1406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CALCSW27279
CA
1041C0700X
Clinical Social Worker
IDLCSW30994
ID
1041C0700X
Clinical Social Worker
LCSW-30994
—
Other
Enumeration date
01/09/2019
Last updated
07/01/2025
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