Mark Harrison Wade in Gray - Professional
Mark Harrison Wade - NPI 1104964097
Mark Harrison Wade is a Professional in Gray, Tennessee. Mark Harrison Wade practices all healthcare services and medical treatments related to Professional. The NPI Number for Mark Harrison Wade is 1104964097. The last update date is 2007-07-08.
Mark Harrison Wade's current location address is Po Box 9054, Gray, Tennessee. You can contact this provider via phone number 4234673600 and fax number 4234673696. The mailing address for Mark Harrison Wade is Po Box 9054, Gray, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Harrison Wade |
|---|---|
| Address | Po Box 9054, Gray, Tennessee |
| Phone Number | 4234673600 |
| Fax Number | 4234673696 |
| Sole Proprietor | N |
| Credentials | LPC CSAC |
NPI Number Detail
| NPI Number | 1104964097 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 9054 |
|---|---|
| City | Gray |
| State | Tennessee (TN) |
| Post Code | 376159054 |
| Phone Number | 4234673600 |
| Fax Number | 4234673696 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 701003573 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101499914 | VA | -- |
Post Comment/ Review Below
What is the Mark Harrison Wade's unique identification number?
The Mark Harrison Wade has been assigned the NPI (National Provider Identifier) Number 1104964097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Mark Harrison Wade's facilities are situated?
The facilities of Mark Harrison Wade are physically located at the following address: Po Box 9054, Gray, TN, 376159054.
What is the area of specialization for Mark Harrison Wade, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Harrison Wade is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
When was the Mark Harrison Wade's 1104964097 issued?
The Mark Harrison Wade's 1104964097 was issued on 2007-02-02.
When was the Mark Harrison Wade's information last updated?
The Mark Harrison Wade's information was last updated on 2007-07-08.