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General NPI Number Information
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NPI Number | 1053478305
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Entity Type | Individual
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Provider Name | JUDITH KATHLEEN WATKINS L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 919 VILLAGE CTR SUITE 5
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City | LAFAYETTE
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State | CA
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Zip | 94549-3598
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Country | US
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Telephone | 925-932-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 1873 LAMPLIGHT CT
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City | WALNUT CREEK
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State | CA
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Zip | 94597-2958
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Country | US
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Telephone | 925-932-2022
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC30154
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MFC30154
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License Number State | CA
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