Individual provider · Type 1 NPI

Wade Harrell Iii, WADE HARRELL

Mental Health Counselor · Gardena, CA

NPI number 1386937423 Active

Practice location

130 W Victoria St
Gardena, CA 90248-3523

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1386937423

Wade Harrell Iii, WADE HARRELL's National Provider Identifier is 1386937423, issued on May 24, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gardena, CA. The record was last updated on May 24, 2011.