Individual provider · Type 1 NPI

Mary Tate Thomas Wade, ALC, MA

Counselor · Mountain Brk, AL

NPI number 1689398695 Active

Practice location

400 Office Park Dr
Mountain Brk, AL 35223-3408

Call (205) 730-6217 Map

Mailing address

2604 Denyse Dr
Birmingham, AL 35243-4101

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XALC04259 (AL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1689398695

Mary Tate Thomas Wade, ALC, MA's National Provider Identifier is 1689398695, issued on Oct 3, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mountain Brk, AL. The record was last updated on Oct 19, 2022.