Individual
CATINA DIANE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, THERAPIST
Contact information
Practice address
5733 CLEMENS AVE, SAINT LOUIS, MO 63112-2607
(314) 497-4150
Mailing address
5733 CLEMENS AVE, SAINT LOUIS, MO 63112-2607
(314) 497-4150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
164W00000X
Licensed Practical Nurse
Primary
2001033439
MO
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
173C00000X
Reflexologist
—
—
174H00000X
Health Educator
—
—
374J00000X
Doula
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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