Individual provider · Type 1 NPI

Leslie L. Wade

Mental Health Counselor · Paxton, IL

NPI number 1710474135 Active

Practice location

1510 W Ottawa Rd
Paxton, IL 60957-4090

Call (217) 379-4302 Map

Fax (217) 379-4304

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710474135

Leslie L. Wade's National Provider Identifier is 1710474135, issued on Apr 20, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Paxton, IL. The record was last updated on Apr 20, 2018.