Individual provider · Type 1 NPI

Stephanie Renea Wade

Mental Health Counselor · Pensacola, FL

NPI number 1831766302 Active

Practice location

4400 Bayou Blvd Ste 20
Pensacola, FL 32503-1908

Call (816) 623-0885 Map

Mailing address

6817 Tiki Ln Apt 4
Pensacola, FL 32503-7167

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH21158 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1831766302

Stephanie Renea Wade's National Provider Identifier is 1831766302, issued on Jun 4, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pensacola, FL. The record was last updated on Jun 4, 2021.