Individual provider · Type 1 NPI
Wayde Jennings Washburn, CAC II, NCAC I
Addiction (Substance Use Disorder) Counselor · Lagrange, GA
NPI number
1437448362
Active
Practice location
100 Smith St Ste 1
Lagrange, GA 30240-2780
Fax (706) 243-4701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0858 (GA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 012692 (GA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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- Kathleen HennrichAddiction (Substance Use Disorder) Counselor Lagrange, GA NPI 1679982011
About NPI 1437448362
Wayde Jennings Washburn, CAC II, NCAC I's National Provider Identifier is 1437448362, issued on Mar 31, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lagrange, GA. The record was last updated on Apr 30, 2014.