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Individual
MR. MARK HARRISON WADE
Active
Individual
MR. MARK HARRISON WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003573
VA
1041C0700X
Clinical Social Worker
Primary
0710102025
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101499914
—
VA
Enumeration date
02/02/2007
Last updated
09/11/2025
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