Search › Georgia › 101YM0800X
John Widener, LPC, LMFT
NPI 1467906537 · on the registry since 2016 · sole proprietor
Practice
- Address
- 125 E Monroe St
Thomasville, GA 31792 - Phone
- (678) 577-8795
- Fax
- (404) 860-2111
- Organisation at this address
- Black Sheep Trauma And Recovery Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 106H00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-25
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