Provider Demographics
NPI:1679045462
Name:WATKINS, DARLENE (MHS COUNSELING)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MHS COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9194
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-0194
Mailing Address - Country:US
Mailing Address - Phone:856-479-8430
Mailing Address - Fax:
Practice Address - Street 1:106 W 35TH ST BLDG 2
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-2707
Practice Address - Country:US
Practice Address - Phone:856-479-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional