Individual
MRS. MICHELLE MARIE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LCAS
Contact information
Practice address
1355 E GARRISON BLVD STE A, GASTONIA, NC 28054-5143
(980) 430-9205
(704) 799-8949
Mailing address
104 EMBERWOOD LN, MOUNT HOLLY, NC 28120-2805
(704) 516-8343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-21541
NC
106H00000X
Marriage & Family Therapist
Primary
1532
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12492992
CAQH
NC
Enumeration date
09/10/2011
Last updated
07/12/2023
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