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Wade Sutter
Professional Counselor in Hannibal, Missouri
NPI 1063103869

Wade Sutter is a Professional Counselor based in Palmyra, MO and is specialized in Professional. Wade Sutter practices in Hannibal, MO. The NPI Number for Wade Sutter is 1063103869 and holds a License No. 2023015724 (Missouri).

The current practice location address for Wade Sutter is 1221 Broadway, Hannibal, MO and can be reached out via phone at 573-221-2111.

Location: 1221 Broadway, Hannibal, MO, 63461-1525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063103869
Provider Name
Wade Sutter
Credential
Provider Entity Type
Individual
Gender
Male
Address
1221 Broadway, Hannibal, MO, 63461-1525
Phone Number
573-221-2111
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1221 Broadway
City
Hannibal
State
Missouri
Zip
63401-4005
Phone Number
573-221-2111
Fax Number
person
Provider Business Mailing Address Details
Address
1221 Broadway
City
Hannibal
State
Missouri
Zip
63401-4005
Phone Number
573-221-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2023015724 (Missouri)
Definition
Definition to come...
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