Kristina Wade LPC

NPI 1790010601 - Counselor - 101YP2500X

NPI Details
NPI 1790010601
Gender Female
Enumeration Date 10/09/2009
Last Updated 10/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1015 CHESTNUT ST
STE 403
PHILADELPHIA PA, 19107-4316, US
Phone (215) 625-9770
Fax
Business Location
1015 CHESTNUT ST
STE 403
PHILADELPHIA PA, 19107-4316, US
Phone (215) 625-9770
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Pennsylvania
License Number PC005213
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According to our database, Kristina Wade LPC NPI is 1790010601, taxonomy code is 101YP2500X and license number is PC005213, license state is located at Pennsylvania. Kristina Wade LPC physically located at 1015 Chestnut St, Philadelphia PA, 19107-4316. NPI Number Kristina Wade LPC has the Individual type.

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1790010601 NPI number is provided on an as is basis without warranty of any kind. 1790010601 is maintained by the National Plan & Provider Enumeration System. The contents of Kristina Wade LPC are for informational purposes only.