Ezra Christopher Wade, LPC, NCC | |
13123 E 16th Ave, Aurora, CO 80045-7106 | |
(720) 777-1234 | |
Not Available |
Full Name | Ezra Christopher Wade |
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Gender | |
Speciality | Counselor - Professional |
Location | 13123 E 16th Ave, Aurora, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124749411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | LPC.0017807 (Colorado) | Primary |
Entity Name | University Physicians Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
Mailing Address | Practice Location Address |
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Ezra Christopher Wade, LPC, NCC Po Box 110429, Aurora, CO 80042-0429 Ph: () - | Ezra Christopher Wade, LPC, NCC 13123 E 16th Ave, Aurora, CO 80045-7106 Ph: (720) 777-1234 |
Laura L Talamantes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11059 E Bethany Dr, Suite 101, Aurora, CO 80014 Phone: 303-617-2300 Fax: 303-617-2397 | |
Dawn Elizabeth Darnell, LAC, LPCC., CH.T Counselor Medicare: Medicare Enrolled Practice Location: 11059 E Bethany Dr, Aurora, CO 80014 Phone: 303-617-2300 | |
Jamie Lynn Contreraz, CAC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2206 Victor St, Aurora, CO 80045 Phone: 303-617-2300 | |
Tiffany Joy Rode, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2206 Victor St, Aurora, CO 80045 Phone: 303-617-2300 | |
Kellie Vazquez, MA, NCC, BC-TMH, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2323 S Troy St Ste 3-107, Aurora, CO 80014 Phone: 314-541-6256 | |
James Pinkney Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12101 E 2nd Ave, Suite 101, Aurora, CO 80011 Phone: 303-909-9952 Fax: 303-395-0430 | |
Charlton Edmond Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1290 Chambers Rd, Aurora, CO 80011 Phone: 303-364-3481 |