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Shanita Wade
Counselor in East Lansing, Michigan
NPI 1265737951

Shanita Wade is a Counselor based in Mason, MI. Shanita Wade practices in East Lansing, MI. The NPI Number for Shanita Wade is 1265737951 and holds a License No. 6401017983 (Michigan).

The current practice location address for Shanita Wade is 411 W Lake Lansing Rd Ste A100, East Lansing, MI and can be reached out via phone at 517-798-3717. You can also correspond with Shanita Wade through the mailing address at PO BOX 10, MASON, MI - 48854-0010 (mailing address contact number: ).

Location: 411 W Lake Lansing Rd Ste A100, East Lansing, MI, 48854-0010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265737951
Provider Name
Shanita Wade
Credential
Provider Entity Type
Individual
Gender
Female
Address
411 W Lake Lansing Rd Ste A100, East Lansing, MI, 48854-0010
Phone Number
517-798-3717
Fax Number
Provider Enumeration Date
01/11/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 W Lake Lansing Rd Ste A100
City
East Lansing
State
Michigan
Zip
48823-8404
Phone Number
517-798-3717
Fax Number
person
Provider Business Mailing Address Details
Address
411 W Lake Lansing Rd Ste A100
City
East Lansing
State
Michigan
Zip
48823-8404
Phone Number
517-798-3717
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6401017983 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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