MR. Kenneth Paul Watson, QMHP, QIDP, SST
NPI #1598590002 in Houghton Lake, Michigan
Provider Information
- NPI Number
- 1598590002
- Entity Type
- Individual
- Name
- MR. Kenneth Paul Watson, QMHP, QIDP, SST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- QMHP, QIDP, SST
- Enumeration Date
- Sep 4, 2024
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 2715 S TOWNLINE RD
- City
- Houghton Lake
- State
- Michigan
- ZIP Code
- 48629-9294
- Phone
- (231) 620-8319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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Organizations
| Provider Name | |
|---|---|
| Goodwill Industries of Greater Detroit |
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