person
Diedre L Wade, MALPCC
Professional Counselor in Louisville, Kentucky
NPI 1568716546

Diedre L Wade is a Professional Counselor based in Louisville, KY and is specialized in Professional. Diedre L Wade practices in Louisville, KY and has the professional credentials of MALPCC. The NPI Number for Diedre L Wade is 1568716546 and holds a License No. PROCOUPCC00211336 (Kentucky).

The current practice location address for Diedre L Wade is 130 Fairfax Ave, Louisville, KY and can be reached out via phone at 502-512-0133.

Location: 130 Fairfax Ave, Louisville, KY, 40207-4939
person
Provider Profile Details
NPI Number
1568716546
Provider Name
Diedre L Wade
Credential
MALPCC
Provider Entity Type
Individual
Gender
Female
Address
130 Fairfax Ave, Louisville, KY, 40207-4939
Phone Number
502-512-0133
Fax Number
Provider Enumeration Date
10/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100345050 05 KY
institution
Provider Business Practice Location Address Details
Address
130 Fairfax Ave
City
State
Zip
40207-4939
Phone Number
502-512-0133
Fax Number
person
Provider Business Mailing Address Details
Address
130 Fairfax Ave
City
State
Zip
40207-4939
Phone Number
502-512-0133
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PROCOUPCC00211336 (Kentucky)
Definition
Definition to come...
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