Doctor Name: | MS. CHARLYN L WATSON |
NPI Number: | 1942387311 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 18616 |
Business Practice Address: | 1715 Fm 1626 Ste 105 #4 Manchaca, TX - 786523553 |
Business Phone Number: | 5124960010 |
Business Fax Number: | 5122921144 |
Mailing Address: | 1715 Fm 1626, Ste 105 #4 MANCHACA |
State: | TX |
Postal Code: | 786523553 |
Phone Number: | 5124960010 |
Fax Number: | 5122921144 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 18616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |