Individual provider · Type 1 NPI

Greg Jay Watson, LPC

Professional Counselor · Boise, ID

NPI number 1164778478 Active

Practice location

5999 W State St
Boise, ID 83703-5059

Fax (208) 853-5125

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-4876 (ID)

Professional Counselor: Definition to come...

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About NPI 1164778478

Greg Jay Watson, LPC's National Provider Identifier is 1164778478, issued on Jul 24, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jul 24, 2012.