Individual provider · Type 1 NPI
Theodore Anthony Watson, LADC
Addiction (Substance Use Disorder) Counselor · Omaha, NE
NPI number
1104981968
Active
Practice location
1941 S 42nd St, Ste 540
Omaha, NE 68105-2939
Fax (402) 614-1540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 150 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104981968
Theodore Anthony Watson, LADC's National Provider Identifier is 1104981968, issued on Dec 22, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Omaha, NE. The record was last updated on Jul 8, 2007.