Individual
ELIZABETH WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
1525 AIRPORT RD, SUITE 101, AMES, IA 50010-8231
(515) 292-3023
(515) 292-3053
Mailing address
1525 AIRPORT RD, SUITE 101, AMES, IA 50010-8231
(515) 292-3023
(515) 292-3053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001197
IA
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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