Provider Demographics
NPI:1720362395
Name:WATSON, ANNE R (LPC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:R
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 1:2770 MAIN ST, # 154
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4322
Mailing Address - Country:US
Mailing Address - Phone:214-543-4108
Mailing Address - Fax:972-499-1005
Practice Address - Street 1:2770 MAIN ST, # 154
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4322
Practice Address - Country:US
Practice Address - Phone:214-543-4108
Practice Address - Fax:972-499-1005
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17130101YP2500X
TX17130LPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional