Provider Demographics
NPI:1316384522
Name:TRUE, PATRICK JAMES WADE (LPC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:JAMES WADE
Last Name:TRUE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 GRUENE SPG
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2493
Mailing Address - Country:US
Mailing Address - Phone:210-993-4176
Mailing Address - Fax:
Practice Address - Street 1:8626 TESORO DR STE 700
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6234
Practice Address - Country:US
Practice Address - Phone:210-993-4176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69109101Y00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor