Provider Demographics
NPI:1477782407
Name:WATSON, KAREN (LCAS, LCSW-P)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:LCAS, LCSW-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S MAIN ST STE 106
Mailing Address - Street 2:MOORESVILLE
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-2372
Mailing Address - Country:US
Mailing Address - Phone:706-662-6118
Mailing Address - Fax:704-664-1839
Practice Address - Street 1:116 S MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2372
Practice Address - Country:US
Practice Address - Phone:704-662-6118
Practice Address - Fax:704-664-1839
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)