Individual provider · Type 1 NPI

M Jennifer Wattenbarger, M.ED., LPC

Professional Counselor · Conway, SC

NPI number 1730112913 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Call (843) 347-5060 Map

Mailing address

1623 25th Ave N
North Myrtle Beach, SC 29582-6103

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2489 (SC)

Professional Counselor: Definition to come...

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About NPI 1730112913

M Jennifer Wattenbarger, M.ED., LPC's National Provider Identifier is 1730112913, issued on Jul 9, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conway, SC. The record was last updated on Jul 8, 2007.