Individual
MR. WADE MALONE CORDELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
3289 E ARIS DR, GILBERT, AZ 85298-4235
(480) 751-9288
Mailing address
3289 E ARIS DR, GILBERT, AZ 85298-4235
(480) 751-9288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-15769
AZ
101YM0800X
Mental Health Counselor
Primary
LPC20157
—
Other
Enumeration date
11/30/2016
Last updated
08/18/2021
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