Individual provider · Type 1 NPI

Tancen Wade

Peer Specialist · Fairbanks, AK

NPI number 1356948863 Active

Practice location

542 4th Ave Ste B101
Fairbanks, AK 99701-4707

Mailing address

PO Box 73004
Fairbanks, AK 99707-3004

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1356948863

Tancen Wade's National Provider Identifier is 1356948863, issued on Oct 7, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fairbanks, AK. The record was last updated on Oct 7, 2020.