Individual
HEIDI M WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 767-1303
Mailing address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 767-1303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1200411
OH
Other
Enumeration date
07/25/2013
Last updated
10/18/2023
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