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Individual

BRENDA MARIE WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M. ED., LPC

Contact information

Practice address
669 JUBILEE CT, GRAND JUNCITON, CO 81506
(970) 241-8056
Mailing address
669 JUBILEE CT, GRAND JUNCITON, CO 81506
(970) 241-8056

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4396
CO
103K00000X
Behavior Analyst
Primary
4396
CO

Other

Enumeration date
10/20/2010
Last updated
10/20/2010
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