Individual provider · Type 1 NPI

Nelse Lorenzo Wade

Mental Health Counselor · Los Angeles, CA

NPI number 1235305996 Active

Practice location

313 E 113th St
Los Angeles, CA 90061-3019

Call (323) 418-8113 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1235305996

Nelse Lorenzo Wade's National Provider Identifier is 1235305996, issued on May 2, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on May 2, 2008.