Individual
KARA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CDP
Contact information
Practice address
1710 W MAIN ST, BATTLE GROUND, WA 98604-4316
(360) 687-0693
Mailing address
18617 NE COYOTE CIR, YACOLT, WA 98675-3127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60597322
WA
1041C0700X
Clinical Social Worker
Primary
LW60856077
WA
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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