person
Jonathan Oliver Wade, LPC
Professional Counselor in Fairfax, Virginia
NPI 1134836810

Jonathan Oliver Wade is a Professional Counselor based in Fairfax, VA and is specialized in Professional. Jonathan Oliver Wade practices in Fairfax, VA and has the professional credentials of LPC. The NPI Number for Jonathan Oliver Wade is 1134836810 and holds a License No. 0701011873 (Virginia).

The current practice location address for Jonathan Oliver Wade is 8221 Willow Oaks Corporate Dr, Fairfax, VA and can be reached out via phone at 571-536-8197.

Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA, 22031-4512
person
Provider Profile Details
NPI Number
1134836810
Provider Name
Jonathan Oliver Wade
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
8221 Willow Oaks Corporate Dr, Fairfax, VA, 22031-4512
Phone Number
571-536-8197
Fax Number
Provider Enumeration Date
11/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8221 Willow Oaks Corporate Dr
City
State
Zip
22031-4512
Phone Number
571-536-8197
Fax Number
person
Provider Business Mailing Address Details
Address
8221 Willow Oaks Corporate Dr
City
State
Zip
22031-4512
Phone Number
571-536-8197
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701011873 (Virginia)
Definition
Definition to come...
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