Individual provider · Type 1 NPI
Oliver Craig Widenhouse, LPC
Professional Counselor · Athens, GA
NPI number
1760454540
Active
Practice location
250 North Ave
Athens, GA 30601-2244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC005005 (GA) |
Professional Counselor: Definition to come...
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About NPI 1760454540
Oliver Craig Widenhouse, LPC's National Provider Identifier is 1760454540, issued on Feb 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athens, GA. The record was last updated on Feb 13, 2008.