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General NPI Number Information
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NPI Number | 1457288359
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Entity Type | Organization
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Legal Business Name | JADEE LLC DBA DONNA WADE LPC, LADC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 901 NW 63RD ST STE 104
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7622
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Country | US
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Telephone | 405-659-5329
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Fax |
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Provider Business Mailing Address
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Address Line | 616 NW 40TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-7044
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Country | US
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Telephone | 405-659-5329
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONNA WADE
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Credential | LPC, LADC
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Telephone | 405-659-5329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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