Individual provider · Type 1 NPI

Amy Rae Wanstrom, LPC

Professional Counselor · Pocatello, ID

NPI number 1639870462 Active

Practice location

1800 Garrett Way Ste 47
Pocatello, ID 83201-5132

Call (208) 252-6464 Map

Mailing address

358 N 200 W
Blackfoot, ID 83221-5703

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-9391 (ID)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1639870462

Amy Rae Wanstrom, LPC's National Provider Identifier is 1639870462, issued on Mar 17, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pocatello, ID. The record was last updated on Mar 17, 2023.