Individual provider · Type 1 NPI
Jonathan Oliver Wade, LPC
Professional Counselor · Fairfax, VA
NPI number
1134836810
Active
Practice location
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701011873 (VA) |
Professional Counselor: Definition to come...
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About NPI 1134836810
Jonathan Oliver Wade, LPC's National Provider Identifier is 1134836810, issued on Nov 1, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Nov 1, 2022.