ROBERT DE WALL, LCPC

LCPC

Professional Counselor

NPI: 1114228384Individual

Specialties, Licenses & Credentials

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

LCPC-4672(ID)

Social Worker

Code: 104100000X

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2008

Contact & Hours

Address: 444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Phone: (208) 233-7832

Quick Facts

NPI: 1114228384
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1
Years in Practice: 18

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