Individual
JONI LYNN WATKINS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
RR 1 BOX 256A, TRIADELPHIA, WV 26059-9725
(304) 547-9197
Mailing address
RR 1 BOX 256A, TRIADELPHIA, WV 26059-9725
(304) 547-9197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AP00942899
WV
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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