Individual provider · Type 1 NPI

Amanda Rose Wise, LPC

Mental Health Counselor · Meridian, ID

NPI number 1114684891 Active

Practice location

3006 E Goldstone Dr
Meridian, ID 83642-1549

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-8499 (ID)

Mental Health Counselor: Definition to come...

18 other providers at this address

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About NPI 1114684891

Amanda Rose Wise, LPC's National Provider Identifier is 1114684891, issued on Nov 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Meridian, ID. The record was last updated on Jul 7, 2025.