Individual provider · Type 1 NPI
Patrick Downing Wade, L.C.S.W.
Addiction (Substance Use Disorder) Counselor · Cupertino, CA
NPI number
1750434007
Active
Practice location
19000 Homestead Rd, Bldg. 1, First Floor
Cupertino, CA 95014-0712
Fax (408) 366-4201
Mailing address
19000 Homestead Road, Bldg. 1, First Floor
Santa Clara, CA 95014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 21550 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750434007
Patrick Downing Wade, L.C.S.W.'s National Provider Identifier is 1750434007, issued on Jan 19, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cupertino, CA. The record was last updated on Jan 14, 2022.