Robert De Wall, LCPC

NPI 1114228384 · on the registry since 2010 · sole proprietor

Practice

Address: 444 Hospital Way Ste 477
Pocatello, ID 83201
Phone: (208) 233-7832
Fax: (208) 233-7835
Organisation at this address: Kokua Rehabilitation
The Healing Center Inc
Precision Wound Care Pc
Meridian Family Medicine
Jason P Richards Md Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho