Individual
LOREN WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 HOSPITAL DR STE B, SIMPSONVILLE, SC 29681-3226
(864) 688-2618
Mailing address
110 HOSPITAL DR STE B, SIMPSONVILLE, SC 29681-3226
(864) 688-2618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC2282
—
SC
Enumeration date
08/12/2019
Last updated
10/26/2020
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