Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jonathan Lewis Wade Sr., MDIV

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1366795890

Mr. Jonathan Lewis Wade Sr., MDIV is an Addiction (Substance Use Disorder) Counselor in Brookhaven, Pennsylvania. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
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Practice location Address checks out

5000 Hilltop Dr
Brookhaven, PA 19015-1228
Phone: (484) 490-1060
Fax: (610) 876-4534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X

Record details

NPI number1366795890
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV
Sole proprietorNo
NPI enumeratedOctober 22, 2012
Last updated in NPPESOctober 22, 2012