Doctor Name: | HELENE T WATSON |
NPI Number: | 1154453421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 3147 |
Business Practice Address: | 123 G St Ste 8 Salida, CO - 812012030 |
Business Phone Number: | 7192216937 |
Business Fax Number: | |
Mailing Address: | 123 G St Ste 8, SALIDA |
State: | CO |
Postal Code: | 812012030 |
Phone Number: | 7192216937 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |