Dominic Watson
Counselor, Mental Health in Deland, FL. Individual provider (NPI-1).
NPI number1164057931
StatusActive
Last updated in NPPESMar 18, 2020
Details
- NPI
- 1164057931
- Entity type
- Individual (NPI-1)
- Name
- Dominic Watson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2020
- Certification date
- Mar 18, 2020
- Last updated
- Mar 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 104100000X | Social Worker | – | – |
Practice location
604 W University AveDeland, FL 32720-3247
Phone 352-642-3251
Mailing address
604 W University AveDeland, FL 32720-3247
Phone 352-642-3251
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All 115 Mental Health Counselor providers in Deland · All 1,382 providers in Deland
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