Individual
JEREMY A WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W BRIDGE ST STE B, DUBLIN, OH 43017-1141
(614) 547-9233
Mailing address
PO BOX 1213, HILLIARD, OH 43026-6213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C.1000486
OH
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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