AUTUM WADE

Peer Specialist

Active Individual
NPI: 1063155364

Practice Address

102 N BROADWAY ST
Johnson City, TN 37601

Phone: (423) 588-9988

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes 000-1410 (TN)

Frequently Asked Questions

NPI 1063155364 is the National Provider Identifier for AUTUM WADE, a Peer Specialist provider located in Johnson City, TN. This NPI was enumerated on April 15, 2022.
AUTUM WADE practices at 102 N BROADWAY ST, Johnson City, TN 37601.

Quick Facts

NPI
1063155364
Type
Individual
Enumerated
Apr 15, 2022
Last Updated
Apr 15, 2022

Nearby Providers