Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WAYDE JENNINGS WASHBURN, CAC II, NCAC I
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · LAGRANGE, GA
Registration Details
- NPI Number
- 1437448362
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2011 (15.067659677945 yrs)
- Last Updated
- Apr 30, 2014
- Licenses
-
0858 (GA)012692 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 SMITH ST STE 1LAGRANGE, GA, 302402780Browse GA providers · Browse ZIP 30240
- Phone
- 7065944735
- Fax
- 7062434701
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN HENNRICH | — | 1679982011 |
| SHERRI AFOLABI | — | 1417460270 |
| CAMILLE CLEMONS | — | 1316450182 |
| SAYSHA BUCHANAN | — | 1760979942 |
| KONRAD DEISS | — | 1437646064 |
| KATHERINE AMANDA PARKS | CAADC | 1881151769 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.