Jordan Rae Watkins

NPI #1801439963 in Maryville, Tennessee

Provider Information

NPI Number: 1801439963
Entity Type: Individual
Name: Jordan Rae Watkins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 22, 2019
Last Updated: Apr 6, 2021

Practice Location

Address: 1704 E BROADWAY AVE
City: Maryville
State: Tennessee
ZIP Code: 37804-2916
Phone: (865) 681-6990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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