Individual
COURTNEY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1142 S HIGH ST, COLUMBUS, OH 43206-3467
(614) 827-1307
(614) 267-0145
Mailing address
5528 ECHO RD, COLUMBUS, OH 43230-1105
(740) 973-7827
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C1400004
OH
101YP2500X
Professional Counselor
Primary
E.1800783
OH
Other
Enumeration date
03/23/2016
Last updated
12/05/2018
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