Individual provider · Type 1 NPI

Leanna Wade

Mental Health Counselor · Fairview, OR

NPI number 1588022370 Active

Practice location

1945 NE 205th Ave
Fairview, OR 97024-9622

Call (503) 661-8050 Map

Fax (503) 492-4651

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1588022370

Leanna Wade's National Provider Identifier is 1588022370, issued on Feb 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview, OR. The record was last updated on Aug 22, 2022.