Individual
CARLA JO WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC,LMLP
Contact information
Practice address
3820 N TOBEN ST, WICHITA, KS 67226-2903
(316) 634-3954
(316) 634-3956
Mailing address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10848
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
247
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
953
KS
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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