Individual provider · Type 1 NPI

Brian Wade, L.C.S.W

Mental Health Counselor · Commack, NY

NPI number 1336207182 Active

Practice location

283 Commack Rd, Suite 125
Commack, NY 11725-6021

Call (631) 421-2547 Map

Fax (631) 421-2547

Mailing address

39 E 16th St
Huntington Station, NY 11746-2931

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR037491-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1336207182

Brian Wade, L.C.S.W's National Provider Identifier is 1336207182, issued on Dec 5, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Commack, NY. The record was last updated on Jul 8, 2007.