Individual
CYNTHIA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
405 MORSON ST, RALEIGH, NC 27601-1559
(919) 302-7441
Mailing address
4003 BROWN PLACE, RALEIGH, NC 27604-5459
(919) 302-7441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C001916
NC
101YM0800X
Mental Health Counselor
Primary
C001916
NC
1041C0700X
Clinical Social Worker
C001916
NC
106H00000X
Marriage & Family Therapist
C001916
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002047
—
NC
Enumeration date
07/03/2007
Last updated
03/08/2013
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