Individual
CLIFTON WATSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 1/2 W KENNEWICK AVE # WA, KENNEWICK, WA 99336-3858
(509) 456-9339
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001983
WA
Other
Enumeration date
01/04/2008
Last updated
06/17/2019
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