Individual provider · Type 1 NPI

Jesse Wade

Mental Health Counselor · San Leandro, CA

NPI number 1194159897 Active

Practice location

3081 Teagarden St
San Leandro, CA 94577-5720

Fax (510) 729-0743

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194159897

Jesse Wade's National Provider Identifier is 1194159897, issued on Aug 29, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Aug 29, 2013.