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Connie Louise Wadham, LMT,LMSW
Mental Health Counselor in Georgetown, Texas
NPI 1700665254

Connie Louise Wadham is a Mental Health Counselor based in Georgetown, TX and is specialized in Mental Health. Connie Louise Wadham practices in Georgetown, TX and has the professional credentials of LMT,LMSW. The NPI Number for Connie Louise Wadham is 1700665254 and holds a License No. MT025785 (Texas).

The current practice location address for Connie Louise Wadham is 3613 Williams Dr Ste 304, Georgetown, TX and can be reached out via phone at 512-400-4247. You can also correspond with Connie Louise Wadham through the mailing address at 3613 WILLIAMS DR STE 304, GEORGETOWN, TX - 78628-1369 (mailing address contact number: 512-400-4247).

Location: 3613 Williams Dr Ste 304, Georgetown, TX, 78628-1369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700665254
Provider Name
Connie Louise Wadham
Credential
LMT,LMSW
Provider Entity Type
Individual
Gender
Female
Address
3613 Williams Dr Ste 304, Georgetown, TX, 78628-1369
Phone Number
512-400-4247
Fax Number
Provider Enumeration Date
09/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3613 Williams Dr Ste 304
City
Georgetown
State
Texas
Zip
78628-1369
Phone Number
512-400-4247
Fax Number
person
Provider Business Mailing Address Details
Address
3613 Williams Dr Ste 304
City
Georgetown
State
Texas
Zip
78628-1369
Phone Number
512-400-4247
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
68854 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT025785 (Texas)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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