ANDREA WATSON PCCCSS
NPI 1790546141
Counselor in Purvis, MS

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since January 22, 2024

805 HIGHWAY 589, PURVIS, MS 39475(601) 794-6543(601) 794-2455 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Andrea Watson Pcccss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA WATSON PCCCSS (NPI 1790546141) is an individual counselor in Purvis, Mississippi, licensed in Mississippi (4139) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1790546141

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameANDREA WATSONCredential: PCCCSS

Location Address805 HIGHWAY 589Purvis, MS 39475-4194

Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901

Phone(601) 794-6543

Fax(601) 794-2455

Sole ProprietorNo

Enumeration DateJanuary 22, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1790546141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MS · 4139

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

805 HIGHWAY 589, Purvis, MS 39475

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