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Stephanie Renea Wade
Mental Health Counselor in Pensacola, Florida
NPI 1831766302

Stephanie Renea Wade is a Mental Health Counselor based in Pensacola, FL and is specialized in Mental Health. Stephanie Renea Wade practices in Pensacola, FL. The NPI Number for Stephanie Renea Wade is 1831766302 and holds a License No. IMH21158 (Florida).

The current practice location address for Stephanie Renea Wade is 4400 Bayou Blvd Ste 20, Pensacola, FL and can be reached out via phone at 816-623-0885.

Location: 4400 Bayou Blvd Ste 20, Pensacola, FL, 32503-7167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831766302
Provider Name
Stephanie Renea Wade
Credential
Provider Entity Type
Individual
Gender
Female
Address
4400 Bayou Blvd Ste 20, Pensacola, FL, 32503-7167
Phone Number
816-623-0885
Fax Number
Provider Enumeration Date
06/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4400 Bayou Blvd Ste 20
City
Pensacola
State
Florida
Zip
32503-1908
Phone Number
816-623-0885
Fax Number
person
Provider Business Mailing Address Details
Address
4400 Bayou Blvd Ste 20
City
Pensacola
State
Florida
Zip
32503-1908
Phone Number
816-623-0885
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH21158 (Florida)
Definition
Definition to come...
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