Individual
CYNTHIA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-9996
Contact information
Practice address
214 E CENTER ST STE 40, POCATELLO, ID 83201-6372
(208) 232-0631
(208) 240-6215
Mailing address
214 E CENTER ST STE 40, POCATELLO, ID 83201-6372
(208) 317-8472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-8287
ID
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
11/20/2025
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