Individual
HARRY KEVIN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
3897 N 20TH ST STE 1, OZARK, MO 65721-8522
(417) 770-2901
Mailing address
3897 N 20TH ST STE 1, OZARK, MO 65721-8522
(417) 770-2901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020003709
MO
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/22/2019
Last updated
02/08/2024
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