Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARIE ANN SHADE, LCPC
ActiveAddiction (Substance Use Disorder) Counselor · BOISE, ID
Registration Details
- NPI Number
- 1609945831
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2006 (19.458034846919 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
LCPC44 (ID)LCPC44 (ID)LCPC44 (ID)
Practice Information
- Address
-
684 N 9TH STREETBOISE, ID, 857025458Browse ID providers · Browse ZIP 85702
- Phone
- 2083436636
- Fax
- 2083891474
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MS. SUE MARIE HICKS | LCSW, CADC III | 1023028990 |
| KRISTINA LAMPE | LPC2774 | 1104971969 |
| GARY D EDSON | CADC | 1275688012 |
| SUSAN FROST | CADC | 1861547614 |
| CONSTANCE MESHACK-HART | — | 1407034325 |
| CLAY DENNIS SCOFIELD | LPC, MA, CADC | 1902071749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.