Individual provider · Type 1 NPI

Mya Makeba Hodges-Watson

Mental Health Counselor · Fairfield, CA

NPI number 1700915295 Active

Practice location

2750 N Texas St, Suite 440
Fairfield, CA 94533-1290

Call (707) 422-9507 Map

Fax (707) 429-1307

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700915295

Mya Makeba Hodges-Watson's National Provider Identifier is 1700915295, issued on Mar 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.