Individual provider · Type 1 NPI

Lynwood Alphonzo Wade Iii, BA

Counselor · Tulsa, OK

NPI number 1255771192 Active

Practice location

5555 S Lewis Ave
Tulsa, OK 74105-7104

Call (918) 779-4556 Map

Fax (918) 895-6917

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1255771192

Lynwood Alphonzo Wade Iii, BA's National Provider Identifier is 1255771192, issued on Jun 25, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 25, 2013.