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Ida Rose Wadsworth, LPC
Professional Counselor in Fort Payne, Alabama
NPI 1104329259

Ida Rose Wadsworth is a Professional Counselor based in Fort Payne, AL and is specialized in Professional. Ida Rose Wadsworth practices in Fort Payne, AL and has the professional credentials of LPC. The NPI Number for Ida Rose Wadsworth is 1104329259 and holds a License No. 3953 (Alabama).

The current practice location address for Ida Rose Wadsworth is 206 4Th St Sw, Fort Payne, AL and can be reached out via phone at 256-304-5755.

Location: 206 4Th St Sw, Fort Payne, AL, 35967-1851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104329259
Provider Name
Ida Rose Wadsworth
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
206 4Th St Sw, Fort Payne, AL, 35967-1851
Phone Number
256-304-5755
Fax Number
Provider Enumeration Date
03/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32053719 05 AL
institution
Provider Business Practice Location Address Details
Address
206 4Th St Sw
City
Fort Payne
State
Alabama
Zip
35967-1851
Phone Number
256-304-5755
Fax Number
person
Provider Business Mailing Address Details
Address
206 4Th St Sw
City
Fort Payne
State
Alabama
Zip
35967-1851
Phone Number
256-304-5755
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
3953 (Alabama)
Definition
Definition to come...
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