Individual
KATHRYN MARIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
866 SONOMA AVE, SANTA ROSA, CA 95404-6537
(707) 909-1455
Mailing address
866 SONOMA AVE, SANTA ROSA, CA 95404-6537
(707) 909-1455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
126473
CA
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
06/24/2026
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