Individual
MR. JAMES WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
50 NORTHGATE INDUSTRIAL DRIVE, GRANITE CITY, IL 62040
(618) 877-4420
Mailing address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 296-6139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29120
IL
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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