Individual provider · Type 1 NPI

Caroline Denise Wade, LPCA

Mental Health Counselor · Portland, OR

NPI number 1972209963 Active

Practice location

1638 SE 12th Ave Apt 213
Portland, OR 97214-4777

Call (323) 383-2345 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XR8119 (OR)
Professional Counselor 101YP2500XR81199 (OR)
Mental Health Counselor Primary 101YM0800XR8119 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1972209963

Caroline Denise Wade, LPCA's National Provider Identifier is 1972209963, issued on Feb 1, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 1, 2023.