Search › Idaho › 101YM0800X
Katie Van Tassell, LPC
NPI 1811381403 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2114 S Roosevelt St
Boise, ID 83705 - Phone
- (571) 606-0792
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-23
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