SearchIdaho101YM0800X

Peter Vandersteen, MA, LMHC, LCPC, CADC

NPI 1699179242 · on the registry since 2014 · sole proprietor

Practice

Address
403 Ponderosa Ct Apt 101
Moscow, ID 83843
Phone
(208) 717-1130

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
101YM0800X
Licence states on file
ID, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-08

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