person
Mrs. Amy Rae Wanstrom, LPC
Professional Counselor in Pocatello, Idaho
NPI 1639870462

Amy Rae Wanstrom is a Professional Counselor based in Blackfoot, ID and is specialized in Professional. Amy Rae Wanstrom practices in Pocatello, ID and has the professional credentials of LPC. The NPI Number for Amy Rae Wanstrom is 1639870462 and holds a License No. LPC-9391 (Idaho).

The current practice location address for Amy Rae Wanstrom is 1800 Garrett Way Ste 47, Pocatello, ID and can be reached out via phone at 208-252-6464.

Location: 1800 Garrett Way Ste 47, Pocatello, ID, 83221-5703
person
Provider Profile Details
NPI Number
1639870462
Provider Name
Amy Rae Wanstrom
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1800 Garrett Way Ste 47, Pocatello, ID, 83221-5703
Phone Number
208-252-6464
Fax Number
Provider Enumeration Date
03/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1800 Garrett Way Ste 47
City
State
Zip
83201-5132
Phone Number
208-252-6464
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Garrett Way Ste 47
City
State
Zip
83201-5132
Phone Number
208-252-6464
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-9391 (Idaho)
Definition
Definition to come...
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