Jennifer Wade, COUNSELOR INTERN

NPI #1356053409 in Moscow, Idaho

Provider Information

NPI Number
1356053409
Entity Type
Individual
Name
Jennifer Wade, COUNSELOR INTERN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
COUNSELOR INTERN
Enumeration Date
Dec 20, 2022
Last Updated
Dec 20, 2022

Practice Location

Address
317 W 6TH ST STE 208
City
Moscow
State
Idaho
ZIP Code
83843-2387
Phone
(208) 882-3504

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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