Individual provider · Type 1 NPI

Robert Andrew De Wall, LCPC

Professional Counselor · Pocatello, ID

NPI number 1114228384 Active

Practice location

444 Hospital Way Ste 477
Pocatello, ID 83201-2744

Call (208) 233-7832 Map

Fax (208) 233-7835

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCPC-4672 (ID)
Social Worker 104100000XNone listed

Professional Counselor: Definition to come...

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About NPI 1114228384

Robert Andrew De Wall, LCPC's National Provider Identifier is 1114228384, issued on Nov 4, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pocatello, ID. The record was last updated on Aug 13, 2026.