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Individual
WADE PETER FREUND
Active
Individual
WADE PETER FREUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LAMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1809135
AR
101YP2500X
Professional Counselor
F1906010
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235842795
—
AR
Enumeration date
08/14/2019
Last updated
09/02/2020
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