Individual
LAURA L. ALLEN-WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
7161 W POTOMAC DR, BOISE, ID 83704-9148
(208) 908-6399
(866) 275-9883
Mailing address
11644 W MOUNT HOOD AVE, NAMPA, ID 83651-8708
(208) 409-7069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5259
ID
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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