person
Tiffany Wade
Mental Health Counselor in Jackson, Mississippi
NPI 1871254532

Tiffany Wade is a Mental Health Counselor based in Jackson, MS and is specialized in Mental Health. Tiffany Wade practices in Jackson, MS. The NPI Number for Tiffany Wade is 1871254532 and holds a License No. (Mississippi).

The current practice location address for Tiffany Wade is 4780 I 55 N Ste 105, Jackson, MS and can be reached out via phone at 601-956-4816.

Location: 4780 I 55 N Ste 105, Jackson, MS, 39211-5542
person
Provider Profile Details
NPI Number
1871254532
Provider Name
Tiffany Wade
Credential
Provider Entity Type
Individual
Gender
Female
Address
4780 I 55 N Ste 105, Jackson, MS, 39211-5542
Phone Number
601-956-4816
Fax Number
Provider Enumeration Date
01/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01670076 05 MS
institution
Provider Business Practice Location Address Details
Address
4780 I 55 N Ste 105
City
State
Zip
39211-5542
Phone Number
601-956-4816
Fax Number
person
Provider Business Mailing Address Details
Address
4780 I 55 N Ste 105
City
State
Zip
39211-5542
Phone Number
601-956-4816
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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