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General NPI Number Information
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NPI Number | 1871759068
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Entity Type | Organization
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Legal Business Name | CLAYTON F WATKINS II, LPC, PC
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 200 W HIGHWAY 6 SUITE 222
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City | WACO
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State | TX
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Zip | 76712-7923
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Country | US
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Telephone | 254-741-5963
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Fax | 254-741-5964
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Provider Business Mailing Address
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Address Line | 200 W HIGHWAY 6 SUITE 222
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City | WACO
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State | TX
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Zip | 76712-7923
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Country | US
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Telephone | 254-741-5963
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Fax | 254-741-5964
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CLAYTON FRANKLIN WATKINS II
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Credential | LPC
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Telephone | 254-741-5963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64200
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License Number State | TX
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