Search › Idaho › 101YP2500X
Desiree Wade, LPC
NPI 1871962845 · on the registry since 2015 · sole proprietor
Practice
- Address
- 316 N Pine St
Saint Anthony, ID 83445 - Phone
- (208) 313-0926
Additional practice sites
- 1970 E 17th St Ste 204, Idaho Falls, ID
- 2590 S 2000 W Ste 2, Rexburg, ID
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho