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General NPI Number Information
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NPI Number | 1588044465
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Entity Type | Individual
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Provider Name | MATTHEW WATSON MS, LPC, NCC, PLMFT
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Gender | Male
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 8237 OAK ST STUDIO B
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City | NEW ORLEANS
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State | LA
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Zip | 70118-2041
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Country | US
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Telephone | 504-229-2044
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Fax |
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Provider Business Mailing Address
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Address Line | 8237 OAK ST STUDIO B
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City | NEW ORLEANS
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State | LA
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Zip | 70118-2041
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5725
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License Number State | LA
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