Doctor Name: | CARL RAYMOND BRITTON WATKINS |
NPI Number: | 1912075870 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC LCAS |
License Number: | 455 |
Business Practice Address: | 405 Nc 65 Wentworth, NC - 27375 |
Business Phone Number: | 3363428312 |
Business Fax Number: | 3363428352 |
Mailing Address: | 405 Nc 65, Po Box 355 WENTWORTH |
State: | NC |
Postal Code: | 27375 |
Phone Number: | 3363428316 |
Fax Number: | 3363428352 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 455 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |