MEDICARE: NAIMA WATSON LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	37AC00888000	NJ

General Provider Information

NPI Number	:	1861362352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAIMA WATSON LAC

Provider Business Mailing Address
First Line	:	PO BOX 2036
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-8036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	346 CHAMBERS BRIDGE RD
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08723-2804
Country	:	US
Telephone Number	:	732-492-9481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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Directions to “ NAIMA WATSON LAC” Practice Location

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