Jennifer Wade, COUNSELOR INTERN | |
317 W 6th St Ste 208, Moscow, ID 83843-2387 | |
(208) 882-3504 | |
Not Available |
Full Name | Jennifer Wade |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 317 W 6th St Ste 208, Moscow, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356053409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Scott Community Care, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356644769 PECOS PAC ID: 2567701618 Enrollment ID: O20190306003704 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Wade, COUNSELOR INTERN 421 E 6th St Apt 3, Moscow, ID 83843-2954 Ph: (713) 419-5888 | Jennifer Wade, COUNSELOR INTERN 317 W 6th St Ste 208, Moscow, ID 83843-2387 Ph: (208) 882-3504 |
Monty D Hays, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Almon St Apt 214, Moscow, ID 83843 Phone: 208-878-2350 | |
Hannah Claire Dejong, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 S Jefferson St, Moscow, ID 83843 Phone: 208-883-1144 | |
Michelle Brunke, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-683-8320 | |
Tina M Overstreet, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 509-444-8200 | |
Christine Meyer, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 E F St, Moscow, ID 83843 Phone: 208-310-1549 | |
Ms. Andrea L Masom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 E 3rd St, Suite 2b, Moscow, ID 83843 Phone: 208-882-1289 Fax: 208-882-8406 | |
Sophia Tsai Malmquist, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 S Asbury St Ste 2, Moscow, ID 83843 Phone: 208-882-2566 |