Individual provider · Type 1 NPI

Maredith Leann Wade, MSE

Mental Health Counselor · Farmington, MO

NPI number 1508871047 Active

Practice location

1085 Maple St
Farmington, MO 63640-1955

Call (573) 756-5353 Map

Fax (573) 756-4559

Mailing address

1430 Olive St, Suite 400
St. Louis, MO 63103-2303

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508871047

Maredith Leann Wade, MSE's National Provider Identifier is 1508871047, issued on Jul 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmington, MO. The record was last updated on Jul 8, 2007.