Doctor Name: | MS. YVETTE DARLENE WADE |
NPI Number: | 1740577881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2990 Inland Empire Blvd Suite 101 Ontario, CA - 917644899 |
Business Phone Number: | 9099803427 |
Business Fax Number: | |
Mailing Address: | 3713 Antelope Creek Dr, ONTARIO |
State: | CA |
Postal Code: | 917610281 |
Phone Number: | 2132000535 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2011 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |