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Carl Anthony Wardlaw, LPC
Counselor in Vidalia, Georgia
NPI 1326360462

Carl Anthony Wardlaw is a Counselor based in Vidalia, GA. Carl Anthony Wardlaw practices in Vidalia, GA and has the professional credentials of LPC. The NPI Number for Carl Anthony Wardlaw is 1326360462 and holds a License No. LPC005881 (Georgia).

The current practice location address for Carl Anthony Wardlaw is 508 Donovan St, Vidalia, GA and can be reached out via phone at 912-537-9280 and via fax at 912-537-6289.

Location: 508 Donovan St, Vidalia, GA, 30475-0178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326360462
Provider Name
Carl Anthony Wardlaw
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
508 Donovan St, Vidalia, GA, 30475-0178
Phone Number
912-537-9280
Fax Number
912-537-6289
Provider Enumeration Date
02/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
508 Donovan St
City
Vidalia
State
Georgia
Zip
30474-3149
Phone Number
912-537-9280
Fax Number
912-537-6289
person
Provider Business Mailing Address Details
Address
508 Donovan St
City
Vidalia
State
Georgia
Zip
30474-3149
Phone Number
912-537-9280
Fax Number
912-537-6289
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC005881 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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