Individual
JAMES E WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1345 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 399-9500
Mailing address
1345 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 399-9500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0005068-SUPV
OH
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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