Individual
MR. JAMES NOLAN WADE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 OLD JACKSON RD, FARMINGTON, MO 63640
(314) 435-6198
Mailing address
1180 OLD JACKSON RD, FARMINGTON, MO 63640-3428
(314) 435-6198
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020006908
MO
104100000X
Social Worker
—
—
Other
Enumeration date
04/06/2015
Last updated
08/05/2022
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