| Doctor Name: | DONNA WATSON |
| NPI Number: | 1699985226 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCDP |
| License Number: | LCDP00152 |
| Business Practice Address: | 2198 Wallum Lake Rd. Pascoag, RI - 02859 |
| Business Phone Number: | 4015685284 |
| Business Fax Number: | |
| Mailing Address: | 528 N Main St, PROVIDENCE |
| State: | RI |
| Postal Code: | 029045757 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCDP00152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |