Individual provider · Type 1 NPI
Ida Rose Wadsworth, LPC
Professional Counselor · Fort Payne, AL
NPI number
1104329259
Active
Practice location
206 4th St SW
Fort Payne, AL 35967-1851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3953 (AL) |
Professional Counselor: Definition to come...
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About NPI 1104329259
Ida Rose Wadsworth, LPC's National Provider Identifier is 1104329259, issued on Mar 15, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Payne, AL. The record was last updated on Feb 21, 2021.