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Jesse Wade
NPI 1194159897 · on the registry since 2013
Practice
- Address
- 3081 Teagarden St
San Leandro, CA 94577 - Phone
- (510) 347-4620
- Fax
- (510) 729-0743
- Organisation at this address
- Davis Street Community Center
Davis Street Community Center
Davis Street Family Resource CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 61
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Male
- Record last updated
- 2013-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California