Provider Demographics
NPI:1932210960
Name:WATKINS, SARAH R (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:R
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 W CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:ROCK PORT
Mailing Address - State:MO
Mailing Address - Zip Code:64482-1409
Mailing Address - Country:US
Mailing Address - Phone:660-744-5353
Mailing Address - Fax:660-744-5353
Practice Address - Street 1:209 W CALHOUN ST
Practice Address - Street 2:
Practice Address - City:ROCK PORT
Practice Address - State:MO
Practice Address - Zip Code:64482-1409
Practice Address - Country:US
Practice Address - Phone:660-744-5353
Practice Address - Fax:660-744-5353
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001011583101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health