Individual
MR. WADE MICHAEL MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
Mailing address
6200 DUTCHMANS LN, LOUISVILLE, KY 40205-3271
(502) 456-6200
(502) 456-6655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCCCA00216570
KY
101YP2500X
Professional Counselor
Primary
173956
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
01/28/2015
Last updated
01/15/2024
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