Individual provider · Type 1 NPI

Lonnie Lewis Wade, MA

Addiction (Substance Use Disorder) Counselor · Bennettsville, SC

NPI number 1992160980 Active

Practice location

1035 Cheraw Street
Bennettsville, SC 29512

Call (843) 454-0841 Map

Mailing address

PO Box 918
Bennettsville, SC 29512

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 1992160980

Lonnie Lewis Wade, MA's National Provider Identifier is 1992160980, issued on Dec 18, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bennettsville, SC. The record was last updated on Aug 8, 2019.