Individual
HEIDI WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 440-3532
(541) 440-3508
Mailing address
272 NW MEDICAL LOOP, SUITE E, ROSEBURG, OR 97471-5597
(541) 440-3532
(541) 440-3508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2847
OR
Other
Enumeration date
06/09/2011
Last updated
01/08/2015
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