Individual provider · Type 1 NPI
Shanelle Watson
Mental Health Counselor · Fountain Valley, CA
NPI number
1568626729
Active
Practice location
16425 Harbor Blvd, Apt 247
Fountain Valley, CA 92708-8311
Mailing address
16425 Harbor Blvd Apt 247
Fountain Valley, CA 92708-8311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1568626729
Shanelle Watson's National Provider Identifier is 1568626729, issued on Jul 16, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fountain Valley, CA. The record was last updated on Jul 16, 2008.