Individual provider · NPI-1

Joe A Andersen, LPC

Counselor, Professional · Idaho Falls, ID

NPI number1629308671
StatusActive
Last updated in NPPESJul 29, 2025

Details

NPI
1629308671
Entity type
Individual (NPI-1)
Name
Joe A Andersen
Credential
LPC
Sex
Male
Sole proprietor
No
Enumeration date
Jan 13, 2010
Last updated
Jul 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLPC4350IDYes

Practice location

2088 E 25th St
Idaho Falls, ID 83404-6490

Phone 208-528-7655

Mailing address

2088 E 25th St
Idaho Falls, ID 83404-6490

Phone 208-528-7655

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