| Ms Holly R Wade, LCPC, LPC | |
|
15394 Revere Dr, New Freedom, PA 17349-9085 | |
| (443) 904-2715 | |
| Not Available |
| Full Name | Ms Holly R Wade |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 15394 Revere Dr, New Freedom, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700104106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC3484 (Maryland) | Secondary |
| 101YP2500X | Counselor - Professional | PC010486 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Holly R Wade, LCPC, LPC 15394 Revere Dr, New Freedom, PA 17349-9085 Ph: (443) 904-2715 | Ms Holly R Wade, LCPC, LPC 15394 Revere Dr, New Freedom, PA 17349-9085 Ph: (443) 904-2715 |
Crystal Derose, Counselor Medicare: Medicare Enrolled Practice Location: 781 Far Hills Dr Ste 600, New Freedom, PA 17349 Phone: 717-812-2560 Fax: 717-812-2569 | |
Jessica Rae Conrad, LPC Counselor Medicare: Medicare Enrolled Practice Location: 781 Far Hills Dr, New Freedom, PA 17349 Phone: 717-812-2560 | |
Mary Collette Parks, LBS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 781 Far Hills Dr Ste 600, New Freedom, PA 17349 Phone: 717-812-2560 Fax: 717-812-2569 |