Individual
MISS ASHLEY ELISE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 CROWN COLONY RD, EDMOND, OK 73034-6618
(214) 532-1191
Mailing address
420 CROWN COLONY RD, EDMOND, OK 73034-6618
(214) 532-1191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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