Dana L Vandergiessen, LCPC
Counselor in Meridian, ID. Individual provider (NPI-1).
NPI number1760627657
StatusActive
Last updated in NPPESDec 8, 2008
Details
- NPI
- 1760627657
- Entity type
- Individual (NPI-1)
- Name
- Dana L Vandergiessen
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2008
- Last updated
- Dec 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LCPC4166 | ID | Yes |
Practice location
2770 E Franklin RdMeridian, ID 83642-5953
Phone 208-855-0660 · Fax 208-898-9433
Mailing address
355 Stagecoach WayKuna, ID 83634-2341
Phone 208-420-3199
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