person
Jennifer Wade, COUNSELORINTERN
Mental Health Counselor in Moscow, Idaho
NPI 1356053409

Jennifer Wade is a Mental Health Counselor based in Moscow, ID and is specialized in Mental Health. Jennifer Wade practices in Moscow, ID and has the professional credentials of COUNSELORINTERN. The NPI Number for Jennifer Wade is 1356053409 and holds a License No. (Idaho).

The current practice location address for Jennifer Wade is 317 W 6Th St Ste 208, Moscow, ID and can be reached out via phone at 208-882-3504.

Location: 317 W 6Th St Ste 208, Moscow, ID, 83843-2954
person
Provider Profile Details
NPI Number
1356053409
Provider Name
Jennifer Wade
Credential
COUNSELORINTERN
Provider Entity Type
Individual
Gender
Female
Address
317 W 6Th St Ste 208, Moscow, ID, 83843-2954
Phone Number
208-882-3504
Fax Number
Provider Enumeration Date
12/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
317 W 6Th St Ste 208
City
State
Zip
83843-2387
Phone Number
208-882-3504
Fax Number
person
Provider Business Mailing Address Details
Address
317 W 6Th St Ste 208
City
State
Zip
83843-2387
Phone Number
208-882-3504
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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