Individual
CAROL WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19421 ARCHER ST, DETROIT, MI 48219-1710
(313) 445-8565
Mailing address
19421 ARCHER ST, DETROIT, MI 48219-1710
(313) 445-8565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401007272
MI
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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