Individual provider · Type 1 NPI

Dexter Antonio Wade, MS, CAC-AD

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1083375406 Active

Practice location

3455 Wilkens Ave Lowr LEVEL20
Baltimore, MD 21229-5213

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC1502 (MD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1083375406

Dexter Antonio Wade, MS, CAC-AD's National Provider Identifier is 1083375406, issued on Jan 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Jan 7, 2022.