Mr. Timothy Shane Wade
Mr. Timothy Shane Wade is a Marriage & Family Therapist in Fresno, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
1804 W Olive AveFresno, CA 93728-2619
Phone: (559) 365-1717
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 124814 (CA) |
|---|
Record details
| NPI number | 1083913321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 25, 2011 |
| Last updated in NPPES | July 1, 2026 |
| Certification date | July 1, 2026 |
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