SearchIdaho101YP2500X

Ian Vassilaros, LPC

NPI 1922838952 · on the registry since 2024 · sole proprietor

Practice

Address
218 E Main St
Rexburg, ID 83440
Phone
(877) 553-6238

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-05

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