Watson, Michele Green

Watson, Michele Green is an individual health care provider with primary practice located at 29520 Canvasback Dr , Easton MD 21601-7124. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Watson, Michele Green can be contacted via phone (410) 822-5007.

Contact Information

Primary practice address
29520 Canvasback Dr Easton MD 21601-7124
Phone: (410) 822-5007
Fax: (410) 822-5569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LGP3628 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC4641 Maryland

Profile Details

NPI number 1447586375
LBN Legal business name Watson, Michele Green
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2009
Last updated Sep 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447586375 NPPES
Maryland MEDICAID 609500300
Maryland MEDICAID 609550002
Maryland MEDICAID 609550001
Maryland MEDICAID 609500303
Maryland MEDICAID 609550004

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