Individual provider · Type 1 NPI

Gwendolyn Daniels Slade, RESIDENT COUNSELOR

Addiction (Substance Use Disorder) Counselor · Portsmouth, VA

NPI number 1346858305 Active

About NPI 1346858305

Gwendolyn Daniels Slade, RESIDENT COUNSELOR's National Provider Identifier is 1346858305, issued on Jul 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portsmouth, VA. The record was last updated on Jul 16, 2020.