Individual provider · Type 1 NPI
Gwendolyn Daniels Slade, RESIDENT COUNSELOR
Addiction (Substance Use Disorder) Counselor · Portsmouth, VA
NPI number
1346858305
Active
Practice location
9 Canoe Ct
Portsmouth, VA 23703-5380
Fax (757) 337-0165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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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.