Wade, Larisa

Wade, Larisa is an individual health care provider with primary practice located at 2659 State St Ste 100 , Carlsbad CA 92008-1627. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wade, Larisa can be contacted via phone (866) 938-3831.

Contact Information

Primary practice address
2659 State St Ste 100 Carlsbad CA 92008-1627
Phone: (866) 938-3831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH61361392 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X 18906 California
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0020639 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X BBH-LCPC-LIC-81060 Montana

Profile Details

NPI number 1598382889
LBN Legal business name Wade, Larisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2020
Last updated Sep 25th, 2025 - about last year

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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