Widener, John

Widener, John is an sole proprietor health care provider with primary practice located at 125 E Monroe St , Thomasville GA 31792-5142. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Widener, John can be contacted via phone (678) 577-8795.

Contact Information

Primary practice address
125 E Monroe St Thomasville GA 31792-5142
Phone: (678) 577-8795
Fax: (404) 860-2111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001705 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC011205 Georgia

Profile Details

NPI number 1467906537
LBN Legal business name Widener, John
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2016
Last updated Jan 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers