Provider Demographics
NPI:1073553533
Name:WATKINS, THOMAS FRANKLIN (CSAC, LCAS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FRANKLIN
Last Name:WATKINS
Suffix:
Gender:M
Credentials:CSAC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 VICTORIA STATION CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6880
Mailing Address - Country:US
Mailing Address - Phone:919-859-9759
Mailing Address - Fax:919-870-5618
Practice Address - Street 1:220 W MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4304
Practice Address - Country:US
Practice Address - Phone:919-870-8151
Practice Address - Fax:919-870-5618
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01007101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)