Individual
JULIANA ELISE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
880 S PLEASANTBURG DR STE 4F, GREENVILLE, SC 29607-2453
(864) 735-0110
Mailing address
104 BROCKMAN DR, MAULDIN, SC 29662-2312
(803) 767-7195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2021
Last updated
08/08/2021
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