Desiree Wade, LPC is a
Counselor - Professional based in Saint Anthony, Idaho. Desiree Wade is licensed to practice in Idaho (license number LPC-5893) and her current practice location is
316 N Pine St, Saint Anthony, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 313-0926.
NPI number for Desiree Wade is 1871962845 and her current mailing address is 316 N Pine St, Saint Anthony, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871962845.
Healthcare Provider's Profile
Full Name | Desiree Wade |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 316 N Pine St, Saint Anthony, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871962845
- Provider Enumeration Date: 09/21/2015
- Last Update Date: 06/04/2024
Medical Identifiers
Medical identifiers for Desiree Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871962845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC-5893 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desiree Wade is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Desiree Wade, LPC 316 N Pine St, Saint Anthony, ID 83445-5353 Ph: (208) 313-0926 | Desiree Wade, LPC 316 N Pine St, Saint Anthony, ID 83445-5353 Ph: (208) 313-0926 |
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