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Individual

CAROLINE ANN WADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
418 MARKET ST, EMPORIA, KS 66801-3932
(559) 908-8405
Mailing address
930 OAK ST, EMPORIA, KS 66801-2559
(559) 908-8405

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
04013
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
01061-T
KS
101YM0800X
Mental Health Counselor
Primary
04013
KS
221700000X
Art Therapist
225800000X
Recreation Therapist
251V00000X
Voluntary or Charitable Agency

Other

Enumeration date
11/21/2022
Last updated
11/21/2022
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