Amanda Wade, LPC

NPI #1164136271 in Pratt, Kansas

Provider Information

NPI Number: 1164136271
Entity Type: Individual
Name: Amanda Wade, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jan 12, 2023
Last Updated: Jan 12, 2023

Practice Location

Address: 200 COMMODORE ST
City: Pratt
State: Kansas
ZIP Code: 67124-2903
Phone: (620) 450-1163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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