Individual
COURTNEY WATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ED.S, LPC, CACP
Contact information
Practice address
187 W BROAD ST, SUITE 200, SPARTANBURG, SC 29306-3234
(864) 582-7588
Mailing address
187 W BROAD ST, SUITE 200, SPARTANBURG, SC 29306-3234
(864) 582-7588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9150
NC
101YP2500X
Professional Counselor
Primary
6170
SC
Other
Enumeration date
05/07/2015
Last updated
03/24/2017
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