Individual provider · Type 1 NPI

Samantha Elaine Wade

Mental Health Counselor · San Antonio, TX

NPI number 1952137739 Active

Practice location

1380 Pantheon Way
San Antonio, TX 78232-2288

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1952137739

Samantha Elaine Wade's National Provider Identifier is 1952137739, issued on Sep 10, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on Sep 10, 2024.