MS. Marie Ann Shade, LCPC

NPI #1609945831 in Boise, Idaho

Provider Information

NPI Number: 1609945831
Entity Type: Individual
Name: MS. Marie Ann Shade, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCPC
Enumeration Date: Nov 6, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 684 N 9TH STREET
City: Boise
State: Idaho
ZIP Code: 85702-5458
Phone: (208) 343-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X

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