Doctor Name: | MRS. BECKY H WATSON |
NPI Number: | 1902088875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC004707 |
Business Practice Address: | 5415 Thompson Mill Rd Hoschton, GA - 305484038 |
Business Phone Number: | 4045973764 |
Business Fax Number: | 6783490633 |
Mailing Address: | 6385 Trudy Dr, FLOWERY BRANCH |
State: | GA |
Postal Code: | 305422622 |
Phone Number: | 4045973764 |
Fax Number: | 6783490633 |
NPI Enumeration Date: | 12/03/2007 |
NPI Last Update Date: | 11/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC004707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |