Individual
DR. JARED A WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT & LPC
Contact information
Practice address
2904 S VISTA CT, INDEPENDENCE, MO 64057-1937
(816) 405-6531
Mailing address
2904 S VISTA CT, INDEPENDENCE, MO 64057-1937
(816) 405-6531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701005546
VA
101YP2500X
Professional Counselor
2015002796
MO
106H00000X
Marriage & Family Therapist
0717001326
VA
106H00000X
Marriage & Family Therapist
Primary
2015004635
MO
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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