Individual
MS. CHRISTINE MARIE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
58 TIMBER CREEK DR, CORDOVA, TN 38018-4233
(901) 566-1971
Mailing address
3155 ROSELEIGH DR, SOUTHAVEN, MS 38672-7188
(662) 801-8230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1803
TN
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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