Individual provider · Type 1 NPI
Michael Dean Wade, MS, LMT
Pastoral Counselor · Gresham, OR
NPI number
1215076476
Active
Practice location
343 W Powell Blvd
Gresham, OR 97030-7050
Fax (503) 667-9072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 7803 (OR) |
| Pastoral Counselor Primary | 101YP1600X | None listed |
Pastoral Counselor: Definition to come...
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About NPI 1215076476
Michael Dean Wade, MS, LMT's National Provider Identifier is 1215076476, issued on Feb 5, 2007. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Gresham, OR. The record was last updated on Apr 21, 2009.