person
Robert Andrew De Wall, LCPC
Professional Counselor in Pocatello, Idaho
NPI 1114228384

Robert Andrew De Wall is a Professional Counselor based in Pocatello, ID and is specialized in Professional. Robert Andrew De Wall practices in Pocatello, ID and has the professional credentials of LCPC. The NPI Number for Robert Andrew De Wall is 1114228384 and holds a License No. LCPC-4672 (Idaho).

The current practice location address for Robert Andrew De Wall is 444 Hospital Way Ste 477, Pocatello, ID and can be reached out via phone at 208-233-7832 and via fax at 208-233-7835. You can also correspond with Robert Andrew De Wall through the mailing address at 65 FORDHAM ST, POCATELLO, ID - 83201-3418 (mailing address contact number: 208-317-0027).

Location: 444 Hospital Way Ste 477, Pocatello, ID, 83201-3418
person
Provider Profile Details
NPI Number
1114228384
Provider Name
Robert Andrew De Wall
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
444 Hospital Way Ste 477, Pocatello, ID, 83201-3418
Phone Number
208-233-7832
Fax Number
208-233-7835
Provider Enumeration Date
11/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
444 Hospital Way Ste 477
City
State
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
208-233-7835
person
Provider Business Mailing Address Details
Address
444 Hospital Way Ste 477
City
State
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
208-233-7835
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-4672 (Idaho)
Definition
Definition to come...
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