Individual
AMY MARION WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CACII, LPCS
Contact information
Practice address
810 DUTCH SQUARE BLVD STE 207, COLUMBIA, SC 29210-7318
(803) 920-9198
Mailing address
41 SEA HAWK CT, COLUMBIA, SC 29203-9044
(803) 920-9198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
415
SC
101YM0800X
Mental Health Counselor
Primary
5720
SC
Other
Enumeration date
12/31/2014
Last updated
06/23/2019
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