Organization
WATSON PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN F WATSON JR. LISW-CP (PRESIDENT)
(864) 933-6170
Entity
Organization
Contact information
Practice address
1240 BAYPOINT DR, SENECA, SC 29672-9182
(864) 933-6170
Mailing address
PO BOX 1229, CLEMSON, SC 29633-1229
(864) 933-6170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3808
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710181672
—
SC
Enumeration date
10/05/2011
Last updated
10/05/2011
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