M JENNIFER WATTENBARGER M.ED., LPC
NPI 1730112913
Counselor - Professional in Conway, SC

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since July 09, 2006

164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About M Jennifer Wattenbarger M.ed., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M JENNIFER WATTENBARGER M.ED., LPC (NPI 1730112913) is an individual professional provider in Conway, South Carolina, licensed in South Carolina (2489) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1730112913

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameM JENNIFER WATTENBARGERCredential: M.ED., LPC

Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903

Mailing Address1623 25th Ave NNorth Myrtle Beach, SC 29582-6103 · (843) 249-2069

Phone(843) 347-5060

Sole ProprietorNo

Enumeration DateJuly 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730112913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SC · 2489

164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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