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Mr. Jonathan Lewis Wade SR.

Pastoral Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder)

5000 Hilltop Dr
Brookhaven , Pennsylvania 19015-1228

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Mr. Jonathan Lewis Wade SR.

Pastoral Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder)

5000 Hilltop Dr
Brookhaven , Pennsylvania 19015-1228

(609) 562-3992

Write a Review Save Call

Mr. Jonathan Lewis Wade SR.

Pastoral Counselor Mental Health Counselor Addiction Counselor (Substance Use Disorder)

5000 Hilltop Dr
Brookhaven , Pennsylvania 19015-1228

(609) 562-3992 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Mental Health Counselor
  • Pastoral Counselor

Languages spoken

  • English

Location

5000 Hilltop Dr Brookhaven , Pennsylvania 19015-1228

First Address

  • Mr. Jonathan Lewis Wade SR.
  • 201 Blackwood Clementon Rd Apt. 1901
  • Lindenwold, NJ
  • Zip : 08021-6878
  • Phone : (609) 562-3992

Second Address

  • Mr. Jonathan Lewis Wade SR.
  • 5000 Hilltop Dr
  • Brookhaven, PA
  • Zip : 19015-1228
  • Fax : (610) 876-4534
  • Phone : (484) 490-1060

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FAQs


Where did Mr. Jonathan Lewis Wade SR. attend graduate school?

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Where did Mr. Jonathan Lewis Wade SR. do his residency?

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Where did Mr. Jonathan Lewis Wade SR. do his fellowship?

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Is Mr. Jonathan Lewis Wade SR. board certified?

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What type of doctor is Mr. Jonathan Lewis Wade SR.

Addiction Counselor (Substance Use Disorder)

In what state does Mr. Jonathan Lewis Wade SR. practice in?

Pennsylvania

Where is Mr. Jonathan Lewis Wade SR.’s practice located?

5000 Hilltop Dr , Brookhaven, Pennsylvania, 19015-1228

What is Mr. Jonathan Lewis Wade SR.’s gender?

Male

Is Mr. Jonathan Lewis Wade SR. a sole practitioner?

No

Is Mr. Jonathan Lewis Wade SR. accepting new patients?

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What languages does Mr. Jonathan Lewis Wade SR. speak?

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Does Mr. Jonathan Lewis Wade SR. accept insurance?

Yes, Mr. Jonathan Lewis Wade SR. accepts insurance

Does Mr. Jonathan Lewis Wade SR. offers telemedicine?

Mr. Jonathan Lewis Wade SR. has not indicated if he offers telemedicine

What is Mr. Jonathan Lewis Wade SR.’s professional license number?

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What is Mr. Jonathan Lewis Wade SR.’s NPI number?

1366795890

Does Mr. Jonathan Lewis Wade SR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YA0400X Addiction Counselor (Substance Use Disorder)
N 101YM0800X Mental Health Counselor
N 101YP1600X Pastoral Counselor

National Provider Identifier

NPI 1366795890
Provider Name Mr. Jonathan Lewis Wade SR.
First Address Lindenwold, NJ 08021-6878
Second Address Brookhaven, PA 19015-1228
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/10/2012
Last Update Date 22/10/2012

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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