Individual provider · Type 1 NPI
Courtney Wade, LPC
Mental Health Counselor · Spring Branch, TX
NPI number
1578181764
Active
Practice location
172 Creekside Park Rd
Spring Branch, TX 78070-6109
Mailing address
125 Ranch Dr
Boerne, TX 78015-8319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 79358 (TX) |
Mental Health Counselor: Definition to come...
Another provider at this address
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- Gregorio Lozano Iii, LPCMental Health Counselor Spring Branch, TX NPI 1700555455
- Kai Dietmar HerrmannMental Health Counselor Spring Branch, TX NPI 1851244743
About NPI 1578181764
Courtney Wade, LPC's National Provider Identifier is 1578181764, issued on Jul 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spring Branch, TX. The record was last updated on Jul 14, 2020.