Individual
MR. RICHARD O WATKINS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LMSW
Contact information
Practice address
8361 ELLIS RD, MILLINGTON, MI 48746-0359
(989) 871-6695
Mailing address
3462 MILLINGTON RD, MILLINGTON, MI 48746-9608
(989) 239-5850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801071148
MI
101YM0800X
Mental Health Counselor
Primary
6801071148
MI
Other
Enumeration date
02/16/2007
Last updated
08/30/2007
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