Laurie Booth Watkins LCPC, LPC

NPI 1790833051 - Counselor - 101YP2500X

NPI Details
NPI 1790833051
Gender Female
Enumeration Date 01/05/2007
Last Updated 07/08/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
221 S METTER AVE
COLUMBIA IL, 62236-2253, US
Phone (314) 651-4313
Fax
Business Location
3023 HIGHWAY K
#615
O FALLON MO, 63368-8696, US
Phone (314) 651-4313
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180-004025
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According to our database, Ms. Laurie Booth Watkins LCPC, LPC NPI is 1790833051, taxonomy code is 101YP2500X and license number is 180-004025, license state is located at Illinois. Laurie Booth Watkins LCPC, LPC physically located at 221 S Metter Ave, Columbia IL, 62236-2253. NPI Number Laurie Booth Watkins LCPC, LPC has the Individual type.

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1790833051 NPI number is provided on an as is basis without warranty of any kind. 1790833051 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Booth Watkins LCPC, LPC are for informational purposes only.