Individual
AUDREY ELAINE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
3594 4TH AVE, SAN DIEGO, CA 92103-4940
(619) 296-1151
Mailing address
3594 4TH AVE, SAN DIEGO, CA 92103-4989
(619) 296-1151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19925
CA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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