Individual provider · Type 1 NPI

Mary C. Wade, M.ED., LPC

Professional Counselor · Acworth, GA

NPI number 1902220825 Active

Practice location

85 Golf Crest Dr, Suite 309
Acworth, GA 30101-2698

Call (404) 480-0430 Map

Mailing address

160 Ridgewood Way
Dallas, GA 30132-2684

Specialties and licenses

TaxonomyCodeLicense
School Counselor 101YS0200X462269 (GA)
Professional Counselor Primary 101YP2500XLPC007481 (GA)

Professional Counselor: Definition to come...

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About NPI 1902220825

Mary C. Wade, M.ED., LPC's National Provider Identifier is 1902220825, issued on Feb 12, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Acworth, GA. The record was last updated on Apr 1, 2021.