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Randell Wade, BMS — NPI 1790918043, Santa Rosa, NM | NPI Central

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NPI 1790918043

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Randell Wade, BMS

NPI 1790918043 · Counselor · Santa Rosa, NM

Provider details

NPI number: 1790918043
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: BMS
Sex: Male
Sole proprietor: No

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Practice location

501 S 4th St

Santa Rosa, NM 88435-2417

Phone: (575) 472-0745

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

Po Box 28220

Santa Fe, NM 87592-8220

Registry dates

Enumerated: 2009-09-02
Last updated: 2009-09-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.