Individual
MRS. DONNA LEE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
825 NW 58TH ST, OKLAHOMA CITY, OK 73118-5912
(405) 842-0543
(405) 842-6223
Mailing address
825 NW 58TH ST, OKLAHOMA CITY, OK 73118-5912
(405) 842-0543
(405) 842-6223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1904
OK
Other
Enumeration date
08/12/2006
Last updated
07/06/2009
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