Michelle Renee Watson, LPC, NCC
Individual provider Active NPI Professional Counselor · Shell Knob, MO
NPI 1255086534 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1255086534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2018045590 (MO)
- Practice address
- 422 Bayshore St
Shell Knob, MO 65747-8188 - Phone
- (417) 231-7205
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018045590 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2018045590 | MO | Yes |
Addresses
Primary practice location
422 Bayshore St
Shell Knob, MO 65747-8188
Mailing address
PO Box 387
Shell Knob, MO 65747-0387
Phone (417) 231-7205
Other providers in Shell Knob, MO
- Regional Services
- Shell Knob Pharmacy LLC
- Shell Knob School
- Deirdre Stocks
- Thomas H. Green Chiropractic, LLC
- Emma Welch
- William R. Chism OD PC
All providers in Shell Knob, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.