Ginelly Watson
Counselor, Mental Health in West Melbourne, FL. Individual provider (NPI-1).
NPI number1437408366
StatusActive
Last updated in NPPESSep 6, 2012
Details
- NPI
- 1437408366
- Entity type
- Individual (NPI-1)
- Name
- Ginelly Watson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2012
- Last updated
- Sep 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2000 Commerce DrWest Melbourne, FL 32904
Phone 321-676-6650
Mailing address
400 East Sheridan RdMelbourne, FL 32901
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