Individual
M. DIANNE WAGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 MEDICAL DR, M. DIANNE WAGES, LPC, LAGRANGE, GA 30240
(706) 885-0111
(706) 885-0607
Mailing address
300 MEDICAL DR, M. DIANNE WAGES, LPC, LAGRANGE, GA 30240
(706) 885-0111
(706) 885-0607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC004106
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337862151A
—
GA
Enumeration date
04/26/2006
Last updated
05/16/2008
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