Individual
RACHEL KELLY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
6721 W 121ST ST, LEAWOOD, KS 66209-2003
(255) 352-6258
Mailing address
3130 ATCHISON AVE, LAWRENCE, KS 66047-3901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04431
KS
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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