Individual provider · Type 1 NPI

Autum Wade

Peer Specialist · Johnson City, TN

NPI number 1063155364 Active

Practice location

102 N Broadway St
Johnson City, TN 37601-3525

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X000-1410 (TN)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

13 other providers at this address

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About NPI 1063155364

Autum Wade's National Provider Identifier is 1063155364, issued on Apr 15, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Johnson City, TN. The record was last updated on Apr 15, 2022.