Individual
WADE PETER FREUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LAMFT
Contact information
Practice address
2153 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4714
(479) 575-9471
Mailing address
2153 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4714
(479) 575-9471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1809135
AR
101YP2500X
Professional Counselor
F1906010
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235842795
—
AR
Enumeration date
08/14/2019
Last updated
09/02/2020
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