| Doctor Name: | ROXANNE ELIZABETH WATSON |
| NPI Number: | 1063748689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | 5236 |
| Business Practice Address: | 804 S Broadway St Poteau, OK - 749533834 |
| Business Phone Number: | 9186479629 |
| Business Fax Number: | |
| Mailing Address: | 709 S Railroad St, POTEAU |
| State: | OK |
| Postal Code: | 749534713 |
| Phone Number: | 9187214191 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2009 |
| NPI Last Update Date: | 07/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 5236 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |