Individual provider · Type 1 NPI
Carl Anthony Wardlaw, LPC
Counselor · Vidalia, GA
NPI number
1326360462
Active
Practice location
508 Donovan St
Vidalia, GA 30474-3149
Fax (912) 537-6289
Mailing address
PO Box 178
Vidalia, GA 30475-0178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPC005881 (GA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Vidalia
About NPI 1326360462
Carl Anthony Wardlaw, LPC's National Provider Identifier is 1326360462, issued on Feb 17, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Vidalia, GA. The record was last updated on Feb 17, 2010.