Stacie A Watkins

NPI #1922343326 in Pocatello, Idaho

Provider Information

NPI Number: 1922343326
Entity Type: Individual
Name: Stacie A Watkins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 11, 2012
Last Updated: Dec 11, 2012

Practice Location

Address: 353 N 4TH AVE
Address 2: STE 110
City: Pocatello
State: Idaho
ZIP Code: 83201-6390
Phone: (208) 233-7832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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