person
Wayde Jennings Washburn, CACII,NCACI
Addiction (Substance Use Disorder) Counselor in Lagrange, Georgia
NPI 1437448362

Wayde Jennings Washburn is an Addiction (Substance Use Disorder) Counselor based in Lagrange, GA and is specialized in Addiction (Substance Use Disorder). Wayde Jennings Washburn practices in Lagrange, GA and has the professional credentials of CACII,NCACI. The NPI Number for Wayde Jennings Washburn is 1437448362 and holds a License No. 0858 (Georgia).

The current practice location address for Wayde Jennings Washburn is 100 Smith St Ste 1, Lagrange, GA and can be reached out via phone at 706-594-4735 and via fax at 706-243-4701.

Location: 100 Smith St Ste 1, Lagrange, GA, 30240-2780
person
Provider Profile Details
NPI Number
1437448362
Provider Name
Wayde Jennings Washburn
Credential
CACII,NCACI
Provider Entity Type
Individual
Gender
Male
Address
100 Smith St Ste 1, Lagrange, GA, 30240-2780
Phone Number
706-594-4735
Fax Number
706-243-4701
Provider Enumeration Date
03/31/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Smith St Ste 1
City
State
Zip
30240-2780
Phone Number
706-594-4735
Fax Number
706-243-4701
person
Provider Business Mailing Address Details
Address
100 Smith St Ste 1
City
State
Zip
30240-2780
Phone Number
706-594-4735
Fax Number
706-243-4701
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0858 (Georgia)
Definition
Definition to come...
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