Individual
HAILEY WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACP, LPCI , ADS
Contact information
Practice address
199 S HERLONG AVE, ROCK HILL, SC 29732-1186
(803) 324-1800
(803) 328-3831
Mailing address
199 S HERLONG AVE, ROCK HILL, SC 29732-1186
(803) 324-1800
(803) 328-3831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5360
SC
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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