Individual
JORDAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1034 S BRENTWOOD BLVD, RICHMOND HEIGHTS, MO 63117-1223
(314) 328-0496
Mailing address
1534 SYCAMORE GLEN CT, FLORISSANT, MO 63031-1150
(770) 778-7700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017022183
MO
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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