Organization
MARLO WATSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLO R WATSON LCAS (SUBSTANCE ABUSE COUNSELOR)
(919) 889-1559
Entity
Organization
Contact information
Practice address
2101 GARNER RD, RALEIGH, NC 27610-4687
(919) 889-1559
Mailing address
702 NEUSE RIDGE DR, CLAYTON, NC 27527-6692
(919) 889-1559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2969
NC
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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