Watson, Sherry Lorraine

Watson, Sherry Lorraine is an individual health care provider with primary practice located at 1550 Irving St Sw Ste 301 , Tumwater WA 98512-6362. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Watson, Sherry Lorraine can be contacted via phone (360) 870-9252.

Contact Information

Primary practice address
1550 Irving St Sw Ste 301 Tumwater WA 98512-6362
Phone: (360) 870-9252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP 00002667 Washington

Profile Details

NPI number 1174995153
LBN Legal business name Watson, Sherry Lorraine
Credentials CDP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2015
Last updated Aug 6th, 2019 - about 6 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 1174995153 NPPES
Washington MEDICAID 2077844

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