Provider Demographics
NPI:1598484982
Name:DALENA WATSON PLLC
Entity Type:Organization
Organization Name:DALENA WATSON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-686-3723
Mailing Address - Street 1:2261 E INDIGO DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-1603
Mailing Address - Country:US
Mailing Address - Phone:602-686-3723
Mailing Address - Fax:844-430-0226
Practice Address - Street 1:2261 E INDIGO DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-1603
Practice Address - Country:US
Practice Address - Phone:602-686-3723
Practice Address - Fax:844-430-0226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1316197940OtherNPI