MR. Michael Dean Wade, MS, LMT

NPI #1215076476 in Gresham, Oregon

Provider Information

NPI Number
1215076476
Entity Type
Individual
Name
MR. Michael Dean Wade, MS, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Pastoral
Credential
MS, LMT
Enumeration Date
Feb 5, 2007
Last Updated
Apr 21, 2009

Practice Location

Address
343 W POWELL BLVD
State
Oregon
ZIP Code
97030-7050
Phone
(503) 666-9171

Specialties & Taxonomy Codes

Specialty
Specialist
Counselor - PastoralPastoral

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