Wade, Desiree
Wade, Desiree is an sole proprietor health care provider with primary practice located at 316 N Pine St , Saint Anthony ID 83445-5353. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wade, Desiree can be contacted via phone (208) 313-0926.Contact Information
Primary practice address
316 N Pine St
Saint Anthony ID 83445-5353
Phone: (208) 313-0926
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-5893 | Idaho |
Profile Details
| NPI number | 1871962845 |
|---|---|
| LBN Legal business name | Wade, Desiree |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2015 |
| Last updated | Jun 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Rudisill, Laura Lee
215 S Washington St Ste 104 , Shelby NC 28150-4675 -
Forde, Richard Eric
4625 Chester Garden Loop , Chester VA 23831-1975 -
Branham, Kavin
335 E Main St , Saint Anthony ID 83445-1546 -
Todd, Janet Meredith
1258 N Main St , Marion VA 24354-4312 -
Jameson, Albert W
333 Throckmorton St #909, Fort Worth TX 76102-7421 -
Aguirre, Shayne M.
120 S 13Th St , Saint Maries ID 83861-1627 -
Vees, Dolores G
1477 Ebenezer Rd , Rock Hill SC 29732-2338 -
Isom, Anna
901 Wallace Blvd Bldg 501, Amarillo TX 79106-1705