Alicia Shawnta Watson, MA, LPC,
Individual provider Active NPI Professional Counselor · Gaston, NC
NPI 1619264231 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1619264231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 7729 (NC)
- Practice address
- 320 Pleasant Hill Rd
Gaston, NC 27832-9511 - Phone
- (704) 449-3816
- NPI assigned
- Jul 3, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7729 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7729 | NC | Yes |
Addresses
Primary practice location
320 Pleasant Hill Rd
Gaston, NC 27832-9511
Mailing address
16 River Dr
Rocky Mount, NC 27804-4414
Phone (704) 449-3816
Other providers in Gaston, NC
- Rvhi,LLC
- Southern Support
- Melinda S. Threlkeld
- Turning Point Care Services
- Vitaltiy Holistic Wellness LLC
All providers in Gaston, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. 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.