Individual provider · Type 1 NPI
Ian Vassilaros, LPC
Professional Counselor · Rexburg, ID
NPI number
1922838952
Active
Practice location
218 E Main St
Rexburg, ID 83440-2022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 65527 (TX) |
Professional Counselor: Definition to come...
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About NPI 1922838952
Ian Vassilaros, LPC's National Provider Identifier is 1922838952, issued on Aug 5, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rexburg, ID. The record was last updated on Aug 5, 2024.