Organization
CHANGING LEADS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLA C WADE LCSW (OWNER/THERAPIST)
(541) 892-5725
Entity
Organization
Contact information
Practice address
905 MAIN ST STE 409, KLAMATH FALLS, OR 97601-6064
(541) 892-5725
Mailing address
905 MAIN ST STE 409, KLAMATH FALLS, OR 97601-6064
(541) 892-5725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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