Individual provider · Type 1 NPI
Connie Louise Wadham, LMT, LMSW
Mental Health Counselor · Georgetown, TX
NPI number
1700665254
Active
Practice location
3613 Williams Dr Ste 304
Georgetown, TX 78628-1369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MT025785 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 68854 (TX) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1700665254
Connie Louise Wadham, LMT, LMSW's National Provider Identifier is 1700665254, issued on Sep 25, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Georgetown, TX. The record was last updated on Sep 25, 2023.