Individual provider · Type 1 NPI

Paul Vandaele, MA; LPC

Professional Counselor · Boise, ID

NPI number 1477010460 Active

Practice location

3350 W Americana Ter Ste 210B
Boise, ID 83706-2521

Call (720) 212-7446 Map

Mailing address

2646 N Columbine Ave
Boise, ID 83713-5257

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-5781 (ID)

Professional Counselor: Definition to come...

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About NPI 1477010460

Paul Vandaele, MA; LPC's National Provider Identifier is 1477010460, issued on Feb 26, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Feb 26, 2019.