Individual
EZRA CHRISTOPHER WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LPC, NCC
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017807
CO
Other
Enumeration date
09/06/2022
Last updated
07/18/2024
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