Individual provider · Type 1 NPI

Michael Wade

Mental Health Counselor · Plymouth, MA

NPI number 1093560609 Active

Practice location

39A Industrial Park Rd
Plymouth, MA 02360-4868

Mailing address

167 South St Apt 9
Plymouth, MA 02360-8103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093560609

Michael Wade's National Provider Identifier is 1093560609, issued on Apr 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plymouth, MA. The record was last updated on Apr 18, 2024.