Individual
THERESA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
305 CAMINO DEL REMEDIO, SANTA BARBARA, CA 93110-1332
(805) 465-8199
Mailing address
100 S WESTWOOD ST SPC 159, PORTERVILLE, CA 93257-7709
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30688
CA
Other
Enumeration date
06/06/2024
Last updated
10/03/2024
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