Eric Watson, UN
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cascade, CO
NPI 1982292371 · NPPES record last updated Jan 2, 2021
Key facts
- NPI
- 1982292371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- NLC.0109130 (CO)
- Practice address
- 5250 Pikes Peak Hwy
Cascade, CO 80809-1110 - Phone
- (719) 249-2465
- NPI assigned
- Jan 2, 2021
- Sex
- Male
- 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 |
|---|---|---|---|
| NLC.0109130 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NLC.0109130 | CO | Yes |
Addresses
Primary practice location
5250 Pikes Peak Hwy
Cascade, CO 80809-1110
Mailing address
4735 Garden Ranch Dr Apt L304
Colorado Springs, CO 80918-8564
Other practice location 1
2270 La Montana Way
Colorado Springs, CO 80918-6715
Phone (866) 333-4635
Other providers in Cascade, CO
- Southern Colorado Addiction Recovery Center
- Carlye Spaulding
- Spirited NP, LLC
- Erik Struck
- Erin Sullivan
- Shonda N White
All providers in Cascade, CO · Addiction (Substance Use Disorder) Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2021. 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.