Individual provider · Type 1 NPI
Wade Malone Cordell Jr., MA, LPC
Mental Health Counselor · Gilbert, AZ
NPI number
1306389994
Active
Practice location
3289 E Aris Dr
Gilbert, AZ 85298-4235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC20157 |
| Mental Health Counselor | 101YM0800X | LAC-15769 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1306389994
Wade Malone Cordell Jr., MA, LPC's National Provider Identifier is 1306389994, issued on Nov 30, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gilbert, AZ. The record was last updated on Aug 18, 2021.