Individual
NATHAN TUCKER WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6363 POPLAR AVE STE 404, MEMPHIS, TN 38119-4831
(901) 626-3403
Mailing address
4655 DORIS CIR S, MILLINGTON, TN 38053-2301
(901) 626-3403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6004
TN
Other
Enumeration date
05/11/2023
Last updated
09/23/2025
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