Individual provider · Type 1 NPI

Jeremiah Watson

Mental Health Counselor · Little Rock, AR

NPI number 1790119360 Active

Practice location

6501 W 12th St
Little Rock, AR 72204-1511

Mailing address

PO Box 251970
Little Rock, AR 72225-1970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790119360

Jeremiah Watson's National Provider Identifier is 1790119360, issued on Aug 30, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little Rock, AR. The record was last updated on Aug 30, 2013.