Individual provider · Type 1 NPI

Katie Marie Anderson, LPC M. COUN

Counselor · Idaho Falls, ID

NPI number 1497807416 Active

Practice location

1740 E 17th St Steb
Idaho Falls, ID 83404

Call (208) 351-5539 Map

Fax (208) 522-8725

Mailing address

3724 E 10 N
Rigby, ID 83442

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC3597 (ID)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1497807416

Katie Marie Anderson, LPC M. COUN's National Provider Identifier is 1497807416, issued on Jan 18, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 9, 2007.