Individual provider · Type 1 NPI

Isabella Raquel Anderson, LPC

Counselor · Pocatello, ID

NPI number 1790675049 Active

Practice location

1335 S 5th Ave Apt 108
Pocatello, ID 83201-6709

Call (505) 363-0727 Map

Mailing address

3852 N Eagle Rd
Boise, ID 83713-0750

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X3571869 (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 1790675049

Isabella Raquel Anderson, LPC's National Provider Identifier is 1790675049, issued on Jul 8, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2025.