Provider Demographics
NPI:1447868831
Name:WATKINS, MEGAN (MS, LMFT #130160)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MS, LMFT #130160
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 N CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2319
Mailing Address - Country:US
Mailing Address - Phone:702-572-6028
Mailing Address - Fax:
Practice Address - Street 1:1021 E WALNUT ST STE 200
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1485
Practice Address - Country:US
Practice Address - Phone:626-385-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130160106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist