Provider Demographics
NPI:1700225729
Name:WARD, RONALD EDWARD JR (LPC)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:EDWARD
Last Name:WARD
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 N THORNTON AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8515
Mailing Address - Country:US
Mailing Address - Phone:706-529-5980
Mailing Address - Fax:706-529-5982
Practice Address - Street 1:1506 N THORNTON AVE
Practice Address - Street 2:SUITE D
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8515
Practice Address - Country:US
Practice Address - Phone:706-529-5980
Practice Address - Fax:706-529-5982
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002443101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional