Individual provider · Type 1 NPI

Marilyn Wright Wade, CADC, MISA I

Addiction (Substance Use Disorder) Counselor · Chicago, IL

NPI number 1194297564 Active

Practice location

140 N Ashland Ave
Chicago, IL 60607-1802

Call (312) 633-4383 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X3
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X30991 (IL)

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

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About NPI 1194297564

Marilyn Wright Wade, CADC, MISA I's National Provider Identifier is 1194297564, issued on Dec 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chicago, IL. The record was last updated on Dec 26, 2018.