Individual
DONNA MARIE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5696 PEACHTREE PKWY, NORCROSS, GA 30092-2855
(404) 938-4517
Mailing address
517 WINDCLIFF DR SE, MARIETTA, GA 30067-8353
(404) 938-4517
(404) 938-4517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006497
GA
101YP2500X
Professional Counselor
LPC600201
OH
Other
Enumeration date
09/20/2011
Last updated
11/14/2011
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