Individual provider · Type 1 NPI

Samantha Wathen

Mental Health Counselor · Raleigh, NC

NPI number 1629426754 Active

Practice location

8512 Six Forks Rd Ste 101
Raleigh, NC 27615-3256

Call (919) 277-0253 Map

Mailing address

211 Loft Ln Apt 94
Raleigh, NC 27609-3887

Other practice locations

  • 380 Suwannee Trail St, Bowling Green, KY 42103-7956 · (270) 901-5000

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XA13506 (NC)
Mental Health Counselor Primary 101YM0800X13506 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1629426754

Samantha Wathen's National Provider Identifier is 1629426754, issued on May 31, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Apr 2, 2021.