Individual ProviderRyan Michelle WadeMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4132 Katella Ave Ste 104, Los Alamitos, CA 90720-3493(562) 598-5991PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Michelle Wade does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1295357838Provider TypeIndividualFull NameWade, Ryan MichelleCredentialLMFTGenderFemaleSole ProprietorNoEnumeration Date5/16/2020Last Updated5/16/2020Contact InformationPractice LocationPractice Address4132 Katella Ave Ste 104, Los Alamitos, CA 90720-3493Phone(562) 598-5991FaxUnlisted FaxMailing LocationMailing Address4132 Katella Ave Ste 104, Los Alamitos, CA 90720-3493Phone(562) 598-5991FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseLMFT118812California