Individual
MS. TAKAKO WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
710 S CHURCH ST, SPARTANBURG, SC 29306-5345
(864) 585-1764
(864) 585-3818
Mailing address
PO BOX 747, SPARTANBURG, SC 29304-0747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4886
SC
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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