person
Theodore Anthony Watson, LADC
Addiction (Substance Use Disorder) Counselor in Omaha, Nebraska
NPI 1104981968

Theodore Anthony Watson is an Addiction (Substance Use Disorder) Counselor based in Omaha, NE and is specialized in Addiction (Substance Use Disorder). Theodore Anthony Watson practices in Omaha, NE and has the professional credentials of LADC. The NPI Number for Theodore Anthony Watson is 1104981968 and holds a License No. 150 (Nebraska).

The current practice location address for Theodore Anthony Watson is 1941 S 42Nd St, Omaha, NE and can be reached out via phone at 402-558-2034 and via fax at 402-614-1540.

Location: 1941 S 42Nd St, Omaha, NE, 68105-2939
person
Provider Profile Details
NPI Number
1104981968
Provider Name
Theodore Anthony Watson
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
1941 S 42Nd St, Omaha, NE, 68105-2939
Phone Number
402-558-2034
Fax Number
402-614-1540
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26 05 NE
institution
Provider Business Practice Location Address Details
Address
1941 S 42Nd St
City
State
Zip
68105-2939
Phone Number
402-558-2034
Fax Number
402-614-1540
person
Provider Business Mailing Address Details
Address
1941 S 42Nd St
City
State
Zip
68105-2939
Phone Number
402-558-2034
Fax Number
402-614-1540
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
150 (Nebraska)
Definition
Definition to come...
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