ROBERT DE WALL, LCPC
Counselor - Professional
Active
Individual
NPI: 1114228384
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | LCPC-4672 (ID) |
Frequently Asked Questions
NPI 1114228384 is the National Provider Identifier for ROBERT DE WALL, LCPC, a Counselor - Professional provider located in Pocatello, ID. This NPI was enumerated on November 4, 2010.
ROBERT DE WALL, LCPC practices at 444 HOSPITAL WAY STE 477, Pocatello, ID 83201.
Quick Facts
- NPI
- 1114228384
- Type
- Individual
- Enumerated
- Nov 4, 2010
- Last Updated
- Oct 22, 2021
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