Provider Demographics
NPI:1467086306
Name:WATSON, MONIQUE HELENE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:HELENE
Last Name:WATSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6027 BRUNSON GROVE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4372
Mailing Address - Country:US
Mailing Address - Phone:254-289-8390
Mailing Address - Fax:
Practice Address - Street 1:633 E FERNHURST DR STE 1304
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1590
Practice Address - Country:US
Practice Address - Phone:832-769-5966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-01
Last Update Date:2020-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77090101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health