Holly Lynn Wade, M.S., P.L.P.C.

NPI #1518241587 in Aurora, Missouri

Provider Information

NPI Number: 1518241587
Entity Type: Individual
Name: Holly Lynn Wade, M.S., P.L.P.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: M.S., P.L.P.C.
Enumeration Date: Oct 7, 2011
Last Updated: Oct 7, 2011

Practice Location

Address: 1119 S ELLIOT
City: Aurora
State: Missouri
ZIP Code: 65605
Phone: (417) 671-9856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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