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Individual
MS. SHAYNA DIAZ WADE
Active
Individual
MS. SHAYNA DIAZ WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28067
NC
101YM0800X
Mental Health Counselor
Primary
17510
NC
101YM0800X
Mental Health Counselor
C5598
OR
Other
Enumeration date
01/12/2016
Last updated
01/07/2025
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