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Randell L. Wade, BMS
Counselor in Santa Rosa, New Mexico
NPI 1790918043

Randell L. Wade is a Counselor based in Santa Fe, NM. Randell L. Wade practices in Santa Rosa, NM and has the professional credentials of BMS. The NPI Number for Randell L. Wade is 1790918043 and holds a License No. (New Mexico).

The current practice location address for Randell L. Wade is 501 S 4Th St, Santa Rosa, NM and can be reached out via phone at 575-472-0745.

Location: 501 S 4Th St, Santa Rosa, NM, 87592-8220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790918043
Provider Name
Randell L. Wade
Credential
BMS
Provider Entity Type
Individual
Gender
Male
Address
501 S 4Th St, Santa Rosa, NM, 87592-8220
Phone Number
575-472-0745
Fax Number
Provider Enumeration Date
09/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 S 4Th St
City
Santa Rosa
State
New Mexico
Zip
88435-2417
Phone Number
575-472-0745
Fax Number
person
Provider Business Mailing Address Details
Address
501 S 4Th St
City
Santa Rosa
State
New Mexico
Zip
88435-2417
Phone Number
575-472-0745
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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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