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 5 months 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.
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