Provider Demographics
NPI:1457843211
Name:WATKINS, GRETA (MA, AMFT)
Entity type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 494117
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-4117
Mailing Address - Country:US
Mailing Address - Phone:530-355-9993
Mailing Address - Fax:
Practice Address - Street 1:1304 EAST ST STE 201
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0855
Practice Address - Country:US
Practice Address - Phone:530-355-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT120187101YM0800X
CAIMF103141101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional