Individual
JANICE LYNN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1000 LAKE SAINT LOUIS BLVD STE 223, LAKE SAINT LOUIS, MO 63367-2924
(636) 345-4744
(636) 699-1413
Mailing address
1000 LAKE SAINT LOUIS BLVD STE 223, LAKE SAINT LOUIS, MO 63367-2924
(636) 345-4744
(636) 699-1413
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2007036364
MO
Other
Enumeration date
03/14/2023
Last updated
03/27/2026
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