Greg Watson, LPC

NPI 1164778478 · on the registry since 2012 · sole proprietor

Practice

Address: 5999 W State St
Boise, ID 83703
Phone: (208) 853-5095
Fax: (208) 853-5125
Organisation at this address: Kathy Matlock Tidwell
Tidwell Social Work Services And Consulting, Inc.
Tidwell Social Work Services And Consulting, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho