Organization
GAIL A. SHADE, M.A., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL ARLENE SHADE BSW, MA. PSYD (LICENSED PROFESSIONAL COUNSELOR)
(304) 258-5353
Entity
Organization
Contact information
Practice address
640 FAIRFAX ST, SUITE #3, BERKELEY SPRINGS, WV 25411-1622
(304) 258-5353
(304) 258-9313
Mailing address
PO BOX 903, BERKELEY SPRINGS, WV 25411-0903
(304) 258-5353
(304) 258-9313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1001
WV
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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