Individual
BETHANY JEAN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3006 COTTAGE GROVE CT, ORLANDO, FL 32822-9447
(470) 833-8908
Mailing address
3006 COTTAGE GROVE CT, ORLANDO, FL 32822-9447
(470) 833-8908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MT4564
FL
Other
Enumeration date
02/13/2023
Last updated
02/17/2026
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