Individual
PATRICIA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 670-0988
Mailing address
325 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 670-0988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5064
TN
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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