Doctor Name: | MS. KIYOKA WATKINS |
NPI Number: | 1609991702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW., BA., LCSW |
License Number: | 0051884 |
Business Practice Address: | 285 Camp Easter Road Lakeview, NC - 28350 |
Business Phone Number: | 9102454339 |
Business Fax Number: | 9102454799 |
Mailing Address: | Po Box 190, LAKEVIEW |
State: | NC |
Postal Code: | 283500190 |
Phone Number: | 9102454339 |
Fax Number: | 9102454799 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0051884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |