| Wayde Jennings Washburn, CAC II, NCAC I | |
|
100 Smith St Ste 1, Lagrange, GA 30240-2780 | |
| (706) 594-4735 | |
| (706) 243-4701 |
| Full Name | Wayde Jennings Washburn |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 100 Smith St Ste 1, Lagrange, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437448362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0858 (Georgia) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 012692 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Wayde Jennings Washburn, CAC II, NCAC I 100 Smith St Ste 1, Lagrange, GA 30240-2780 Ph: (706) 594-4735 | Wayde Jennings Washburn, CAC II, NCAC I 100 Smith St Ste 1, Lagrange, GA 30240-2780 Ph: (706) 594-4735 |
Martha Lynne Earley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4054 Fax: 706-845-4367 | |
Mr. Walter Hue Scott Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 West Point Rd., Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035 | |
Renonda Michelle Forney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 W Point Rd, Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035 | |
Holly T Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 Mooty Bridge Rd, Lagrange, GA 30240 Phone: 706-443-5433 | |
Christopher Blake Glaze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4045 | |
Elizabeth Billiter, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 C Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4045 Fax: 706-845-4367 | |
Ms. Baxlee Bynum, M.ED, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4045 Fax: 706-845-4367 |