SAMANTHA WATHEN

RALEIGH, NC
NPI1629426754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  13506)
Additional Taxonomies101Y00000X Counselor
101YM0800X Counselor, Mental Health
(Licence: NC  A13506)
Enumeration Date2016-05-31
Last Update Date2021-04-02
Business Address
SAMANTHA WATHEN
8512 SIX FORKS RD STE 101
RALEIGH, NC 27615-3256
Phone number: 919-277-0253
Mailing Address
SAMANTHA WATHEN
211 LOFT LN APT 94
RALEIGH, NC 27609-3887
Phone number: 919-609-0123