Provider Demographics
NPI:1932421328
Name:WATSON, SARAH J (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
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 1:24345 WILDERNESS OAK APT 1206
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7879
Mailing Address - Country:US
Mailing Address - Phone:210-885-2696
Mailing Address - Fax:
Practice Address - Street 1:8703 WURZBACH RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1160
Practice Address - Country:US
Practice Address - Phone:210-561-1512
Practice Address - Fax:210-561-1517
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional