person
Lee Tyson Wade, LPC
Professional Counselor in Valdosta, Georgia
NPI 1174887483

Lee Tyson Wade is a Professional Counselor based in Valdosta, GA and is specialized in Professional. Lee Tyson Wade practices in Valdosta, GA and has the professional credentials of LPC. The NPI Number for Lee Tyson Wade is 1174887483 and holds a License No. (Georgia).

The current practice location address for Lee Tyson Wade is 1205 Baytree Road, Valdosta, GA and can be reached out via phone at 229-244-5533 and via fax at 229-253-9066.

Location: 1205 Baytree Road, Valdosta, GA, 31602
person
Provider Profile Details
NPI Number
1174887483
Provider Name
Lee Tyson Wade
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1205 Baytree Road, Valdosta, GA, 31602
Phone Number
229-244-5533
Fax Number
229-253-9066
Provider Enumeration Date
07/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1205 Baytree Road
City
State
Zip
31602
Phone Number
229-244-5533
Fax Number
229-253-9066
person
Provider Business Mailing Address Details
Address
1205 Baytree Road
City
State
Zip
31602
Phone Number
229-244-5533
Fax Number
229-253-9066
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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