| Jonathan Marvin Wade, | |
|
7540 Highway 64 W, Brasstown, NC 28902-8079 | |
| (828) 837-5335 | |
| Not Available |
| Full Name | Jonathan Marvin Wade |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7540 Highway 64 W, Brasstown, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386113900 | NPI | - | NPPES |
| 23249 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23249 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Marvin Wade, 7540 Highway 64 W, Brasstown, NC 28902-8079 Ph: (828) 837-5335 | Jonathan Marvin Wade, 7540 Highway 64 W, Brasstown, NC 28902-8079 Ph: (828) 837-5335 |
Katherine Spurlock, CSAC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 7540 Highway 64 W, Brasstown, NC 28902 Phone: 828-837-5335 Fax: 828-604-7030 | |
Jessica Charles Gentry, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7450 Us Highway 64 West, Brasstown, NC 28902 Phone: 828-837-5335 | |
Christina Asha Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7540 Highway 64 W, Brasstown, NC 28902 Phone: 828-837-5335 |