Individual
CADE WILSON AMEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6400
(316) 284-6490
Mailing address
PO BOX 467, NEWTON, KS 67114-0467
(316) 284-6400
(316) 284-6490
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2594
KS
101YP2500X
Professional Counselor
2608
KS
Other
Enumeration date
02/20/2014
Last updated
06/11/2018
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