Individual
JUSTINA K WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS MA CMS OCPS
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
OH
175T00000X
Peer Specialist
Primary
—
—
405300000X
Prevention Professional
OCPS161333
OH
Other
Enumeration date
04/18/2019
Last updated
10/19/2023
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