Individual
HAYWOOD WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17235 N 75TH AVE, GLENDALE, AZ 85308-0831
(480) 641-1165
Mailing address
15031 W HEARN RD, SURPRISE, AZ 85379-6034
(480) 641-1165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AZ
101YM0800X
Mental Health Counselor
—
AZ
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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