# GAIL A. SHADE, M.A., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609932623
- **Authorized official:** MRS. GAIL ARLENE SHADE BSW, MA. PSYD (LICENSED PROFESSIONAL COUNSELOR)
- **Authorized official phone:** (304) 258-5353

## Contact information

- **Practice address:** 640 FAIRFAX ST, SUITE \#3, BERKELEY SPRINGS, WV 25411-1622
- **Practice address phone:** (304) 258-5353
- **Practice address fax:** (304) 258-9313
- **Mailing address:** PO BOX 903, BERKELEY SPRINGS, WV 25411-0903
- **Mailing address phone:** (304) 258-5353
- **Mailing address fax:** (304) 258-9313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 1001 | WV | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 08/22/2020