Individual provider · Type 1 NPI

Doris Wade

Mental Health Counselor · Bartow, FL

NPI number 1316263296 Active

Practice location

1255 Golfview Ave
Bartow, FL 33830-6736

Call (863) 519-0575 Map

Mailing address

PO Box 1559
Bartow, FL 33831-1559

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XIMH10069 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1316263296

Doris Wade's National Provider Identifier is 1316263296, issued on Apr 16, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bartow, FL. The record was last updated on Oct 29, 2015.