Wade, Teresa

Wade, Teresa is an individual health care provider with primary practice located at 415 N Poplar Ave , Wichita KS 67214-4529. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wade, Teresa can be contacted via phone (316) 686-6671.

Contact Information

Primary practice address
415 N Poplar Ave Wichita KS 67214-4529
Phone: (316) 686-6671
Fax: (316) 686-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 199 Kansas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 0369 Kansas

Profile Details

NPI number 1629165188
LBN Legal business name Wade, Teresa
Credentials L.M.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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