Individual provider · Type 1 NPI
Desiree Wade, LPC
Mental Health Counselor · St. Anthony, ID
NPI number
1871962845
Active
Practice location
316 N Pine St
St. Anthony, ID 83445-5353
Other practice locations
- 1970 E 17th St Ste 204, Idaho Falls, ID 83404-8048 · (208) 356-0088
- 2590 S 2000 W Ste 2, Rexburg, ID 83440-4028 · (208) 356-0088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-5893 (ID) |
Mental Health Counselor: Definition to come...
About NPI 1871962845
Desiree Wade, LPC's National Provider Identifier is 1871962845, issued on Sep 21, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Anthony, ID. The record was last updated on Oct 6, 2026.