Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YP1600X | Pastoral Counselor | ||
N | 101YS0200X | School Counselor |
NPI | 1346755832 |
---|---|
Provider Name | Bebee Watson |
First Address | Kernersville, NC 27284-3229 |
Second Address | Kernersville, NC 27284-3229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2017 |
Last Update Date | 06/12/2017 |