Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMY RAE WANSTROM, LPC
Active Sole ProprietorMRS. AMY RAE WANSTROM, LPC is a Professional Counselor healthcare provider located in POCATELLO, Idaho. NPI 1639870462 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · POCATELLO, ID
Registration Details
- NPI Number
- 1639870462
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2023 (3.3667954556039 yrs)
- Last Updated
- Mar 17, 2023
- License
-
LPC-9391 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1800 GARRETT WAY STE 47POCATELLO, ID, 832015132Browse ID providers · Browse ZIP 83201
- Phone
- 2082526464
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| MS. PAMELA L. DAVIES | LCPC | 1538261169 |
| MARINA J. ELLIS | LCPC | 1528107158 |
| MS. JANET LEE SCHUBERT | LCPC | 1578606141 |
| CHARITY POTTER | LCPC, LSW | 1952420077 |
| CALLEEN ANN CANNON | LCPC | 1316144819 |
| SUSAN K MACOMB | LCPC | 1265624100 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.