| Organization Name: | JEANNE WATSON |
| NPI Number: | 1275594582 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANNE WATSON (LICENSED PROFESSIONAL COUNSELOR) |
| Mailing Address: | 408 N Main St Suite A Hillsville |
| State: | VA US |
| Postal Code: | 243431435 |
| Phone Number: | 2767300548 |
| Fax Number: | 2767300568 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701000999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |