Amanda Rose Wise, LPC

NPI #1114684891 in Meridian, Idaho

Provider Information

NPI Number
1114684891
Entity Type
Individual
Name
Amanda Rose Wise, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Nov 17, 2021
Last Updated
Jul 7, 2025

Practice Location

Address
3006 E GOLDSTONE DR
State
Idaho
ZIP Code
83642-1549
Phone
(208) 614-3413

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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