Search › Georgia › 101YA0400X
Wayde Washburn, CAC II, NCAC I
NPI 1437448362 · on the registry since 2011 · sole proprietor
Practice
- Address
- 100 Smith St Ste 1
Lagrange, GA 30240 - Phone
- (706) 594-4735
- Fax
- (706) 243-4701
- Organisation at this address
- Addiction Recovery Services
Center For Hope & Healing, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia