AMANDA ROSE WISE

MERIDIAN, ID
NPI1114684891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  LPC-8499)
Enumeration Date2021-11-17
Last Update Date2021-11-17
Business Address
AMANDA ROSE WISE LPC
2176 E FRANKLIN RD STE 100
MERIDIAN, ID 83642-8009
Phone number: 208-614-3413
Mailing Address
AMANDA ROSE WISE LPC
2176 E FRANKLIN RD STE 100
MERIDIAN, ID 83642-8009
Phone number: