Wade, Marcus L

Wade, Marcus L is an sole proprietor health care provider with primary practice located at 401 E Front St Ste 145 , Tyler TX 75702-8213. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wade, Marcus L can be contacted via phone (903) 372-0349.

Contact Information

Primary practice address
401 E Front St Ste 145 Tyler TX 75702-8213
Phone: (903) 372-0349
Fax: (903) 472-5038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10748 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 56749 Texas

Profile Details

NPI number 1780930768
LBN Legal business name Wade, Marcus L
Credentials LMSW/LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2012
Last updated Jun 13th, 2024 - 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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