Individual
CATHERINE ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
410 S MICHIGAN AVE STE 928, CHICAGO, IL 60605
(312) 248-3190
Mailing address
5025 N PAULINA ST, CHICAGO, IL 60640-2772
(773) 271-9040
(773) 293-5506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011382
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14230228
CAQH
IL
Enumeration date
04/05/2018
Last updated
05/15/2018
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