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NPI Code Detail

MEDICARE: NIKIA WADE

MEDICARE: NIKIA WADE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCI44871024CA

General Provider Information

NPI Number : 1952251514
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKIA WADE
Provider Business Mailing Address
First Line : 805 4TH ST STE 101
Second Line :
City : PASO ROBLES
State : CA
Zip : 93446-3173
Country : US
Telephone Number : 805-226-3201
Fax Number :
Provider Business Practice Location Address
First Line : 805 4TH ST STE 101
Second Line :
City : PASO ROBLES
State : CA
Zip : 93446-3173
Country : US
Telephone Number : 805-226-3201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/13/2026

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Directions to “ NIKIA WADE ” Practice Location

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