Provider Demographics
NPI:1922088178
Name:WADE, RAMONA M (LMFT)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:M
Last Name:WADE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6901 S LYNCREST PL
Mailing Address - Street 2:STE 105
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108
Mailing Address - Country:US
Mailing Address - Phone:605-335-1516
Mailing Address - Fax:605-731-0896
Practice Address - Street 1:6901 S LYNCREST PL
Practice Address - Street 2:STE 105
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-335-1516
Practice Address - Fax:605-731-0896
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SDLMFT1131101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health