person
Peter John Vandersteen, MA,LMHC,LCPC,CADC
Mental Health Counselor in Moscow, Idaho
NPI 1699179242

Peter John Vandersteen is a Mental Health Counselor based in Moscow, ID and is specialized in Mental Health. Peter John Vandersteen practices in Moscow, ID and has the professional credentials of MA,LMHC,LCPC,CADC. The NPI Number for Peter John Vandersteen is 1699179242 and holds a License No. CADC-5045 (Idaho).

The current practice location address for Peter John Vandersteen is 403 Ponderosa Ct Apt 101, Moscow, ID and can be reached out via phone at 208-717-1130. You can also correspond with Peter John Vandersteen through the mailing address at 403 PONDEROSA CT APT 101, MOSCOW, ID - 83843-3453 (mailing address contact number: 208-717-1130).

Location: 403 Ponderosa Ct Apt 101, Moscow, ID, 83843-3453
person
Provider Profile Details
NPI Number
1699179242
Provider Name
Peter John Vandersteen
Credential
MA,LMHC,LCPC,CADC
Provider Entity Type
Individual
Gender
Male
Address
403 Ponderosa Ct Apt 101, Moscow, ID, 83843-3453
Phone Number
208-717-1130
Fax Number
Provider Enumeration Date
10/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
403 Ponderosa Ct Apt 101
City
State
Zip
83843-3453
Phone Number
208-717-1130
Fax Number
person
Provider Business Mailing Address Details
Address
403 Ponderosa Ct Apt 101
City
State
Zip
83843-3453
Phone Number
208-717-1130
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LH60898613 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CADC-5045 (Idaho)
Definition
Definition to come...
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