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Tancen Wade
Peer Specialist in Fairbanks, Alaska
NPI 1356948863

Tancen Wade is a Peer Specialist based in Fairbanks, AK. Tancen Wade practices in Fairbanks, AK. The NPI Number for Tancen Wade is 1356948863 and holds a License No. (Alaska).

The current practice location address for Tancen Wade is 542 4Th Ave Ste B101, Fairbanks, AK and can be reached out via phone at 907-374-1097. You can also correspond with Tancen Wade through the mailing address at PO BOX 73004, FAIRBANKS, AK - 99707-3004 (mailing address contact number: ).

Location: 542 4Th Ave Ste B101, Fairbanks, AK, 99707-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356948863
Provider Name
Tancen Wade
Credential
Provider Entity Type
Individual
Gender
Female
Address
542 4Th Ave Ste B101, Fairbanks, AK, 99707-3004
Phone Number
907-374-1097
Fax Number
Provider Enumeration Date
10/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1687081 05 AK
institution
Provider Business Practice Location Address Details
Address
542 4Th Ave Ste B101
City
Fairbanks
State
Alaska
Zip
99701-4707
Phone Number
907-374-1097
Fax Number
person
Provider Business Mailing Address Details
Address
542 4Th Ave Ste B101
City
Fairbanks
State
Alaska
Zip
99701-4707
Phone Number
907-374-1097
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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