Individual
KATHRYN K WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
120 CHESTERFIELD ST. NE, AIKEN, SC 29801
(803) 641-9979
(803) 641-7127
Mailing address
PO BOX 3157, AIKEN, SC 29802-3157
(803) 641-9979
(803) 641-7127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4882
SC
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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