Alicia Wade
NPI #1750897997 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1750897997
- Entity Type
- Individual
- Name
- Alicia Wade
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 26, 2017
- Last Updated
- Dec 26, 2017
Practice Location
- Address
- 420 W GRAND AVE
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60031
- Phone
- (847) 356-3322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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