Individual provider · Type 1 NPI

Tajuana L. Wade, MA

Mental Health Counselor · Portland, OR

NPI number 1194048371 Active

Practice location

4925 N Albina Ave
Portland, OR 97217-2609

Fax (503) 459-4495

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194048371

Tajuana L. Wade, MA's National Provider Identifier is 1194048371, issued on Mar 2, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 2, 2010.