Individual
TENISHA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3814 GEORGIA CT, PORTSMOUTH, VA 23703-2507
(757) 724-0721
Mailing address
3814 GEORGIA CT, PORTSMOUTH, VA 23703-2507
(757) 724-0721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732001541
VA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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