Individual
BETH ANN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-DP
Contact information
Practice address
630 WALNUT ST, ALPENA, MI 49707-1832
(989) 356-6649
Mailing address
630 WALNUT ST, ALPENA, MI 49707-1832
(989) 356-6649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123529763
—
MI
Enumeration date
10/14/2020
Last updated
10/14/2020
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