Individual
HITHA SRIVATSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, CCH
Contact information
Practice address
138 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 583-1010
Mailing address
138 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 583-1010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6991
SC
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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