Individual provider · Type 1 NPI

Robert Tyson Wade, MS.

Addiction (Substance Use Disorder) Counselor · Augusta, GA

NPI number 1891980975 Active

Practice location

1 Freedom Way # 26
Augusta, GA 30904-6258

Fax (706) 731-7190

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1891980975

Robert Tyson Wade, MS.'s National Provider Identifier is 1891980975, issued on Sep 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Augusta, GA. The record was last updated on Sep 11, 2007.