Individual provider · NPI-1

Katie Marie Anderson, LPC M. COUN

Counselor · Idaho Falls, ID

NPI number1497807416
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1497807416
Entity type
Individual (NPI-1)
Name
Mrs. Katie Marie Anderson
Credential
LPC M. COUN
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X CounselorLPC3597IDYes

Practice location

1740 E 17th St Steb
Idaho Falls, ID 83404

Phone 208-351-5539 · Fax 208-522-8725

Mailing address

3724 E 10 N
Rigby, ID 83442

Phone 208-351-5539

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor providers in Idaho Falls, ID