Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CRYSTAL DIANE WATSON, MSW, SWAICL
Deactivated Sole ProprietorMS. CRYSTAL DIANE WATSON, MSW, SWAICL is a Mental Health Counselor healthcare provider located in OTHELLO, Washington. NPI 1770028375 is deactivated in the NPPES registry. Verify at CMS.
Mental Health Counselor · OTHELLO, WA
This NPI has been deactivated.
The record was deactivated on December 16, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1770028375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2017 (2.9452054794521 yrs)
- Last Updated
- Feb 3, 2020
- Deactivated
- Dec 16, 2019
- Licenses
-
60865152 (WA)61021724 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 E MAIN ST STE 600OTHELLO, WA, 993441146Browse WA providers · Browse ZIP 99344
- Phone
- 5094885611
- Fax
- 5094880166
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in OTHELLO, WA
| Name | Credential | NPI |
|---|---|---|
| PATRICE A DIAL | COUNSELOR | 1952419921 |
| JOHN PAUL BOMAR | REGISTERED COUNSELOR | 1942312285 |
| ROBERTO PRUNEDA JR. | REGISTERED COUNSLOR | 1750493995 |
| RICHARD A MAYWALD | — | 1194819540 |
| SARAH REEVE | — | 1528187655 |
| SARA MCPHERSON | — | 1245437748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.