Provider Demographics
NPI:1164431508
Name:FRENCH, WADE E (EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:WADE
Middle Name:E
Last Name:FRENCH
Suffix:
Gender:M
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 SHILOH RD STE 501
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-2457
Mailing Address - Country:US
Mailing Address - Phone:903-561-0060
Mailing Address - Fax:903-561-6961
Practice Address - Street 1:1810 SHILOH RD STE 501
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-2457
Practice Address - Country:US
Practice Address - Phone:903-561-0060
Practice Address - Fax:903-561-6961
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12059101YP2500X
TX2950106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3452LCOtherBCBS
TX7147265OtherAETNA