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Organization

THERAPY NICHE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAENISHA MARIE WATSON LPCMH (CEO/ MENTAL HEALTH THERAPY)
(302) 344-0504
Entity
Organization

Contact information

Practice address
8 THE GRN STE 17492, DOVER, DE 19901-3618
(302) 344-0504
Mailing address
340 N GOVERNORS AVE, DOVER, DE 19904-3006

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
07/03/2025
Last updated
08/06/2025
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