Individual
MR. JOHN B. WATES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. DIV., LMFT
Contact information
Practice address
531-A OXFORD STREET, SUMTER, SC 29150
(803) 774-4045
(803) 774-4060
Mailing address
531-A OXFORD STREET, SUMTER, SC 29150
(803) 774-4045
(803) 774-4060
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
34
SC
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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