Individual
DR. THEODORE JEFFREY WACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D., LPC
Contact information
Practice address
2717 DUNCAN ST, COLUMBIA, SC 29205-2519
(803) 252-9272
(803) 929-3849
Mailing address
2717 DUNCAN STREET, COLUMBIA, SC 29205
(803) 252-9272
(803) 929-3849
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3509
SC
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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