Individual
LISA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-7294
(616) 942-9548
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-7294
(616) 942-9548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014066
MI
Other
Enumeration date
02/11/2014
Last updated
03/11/2020
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