Individual
NATASHA C WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, NLC
Contact information
Practice address
2130 E 97TH PL, THORNTON, CO 80229-2461
(720) 252-0333
Mailing address
2130 E 97TH PL, THORNTON, CO 80229-2461
(720) 252-0333
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
0108397
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108397
NLC NUMBER
CO
Enumeration date
08/06/2021
Last updated
02/02/2022
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