Individual
TEDDY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
540 CHAMA ST NE, STE 2, ALBUQUERQUE, NM 87108-3594
(505) 265-0753
(505) 268-6722
Mailing address
540 CHAMA ST NE, STE 2, ALBUQUERQUE, NM 87108-3594
(505) 265-0753
(505) 268-6722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00067872
NM
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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