Anderson, Katie Marie

Anderson, Katie Marie is an individual health care provider with primary practice located at 1740 E 17Th St Steb , Idaho Falls ID 83404. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Anderson, Katie Marie can be contacted via phone (208) 351-5539.

Contact Information

Primary practice address
1740 E 17Th St Steb Idaho Falls ID 83404
Phone: (208) 351-5539
Fax: (208) 522-8725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC3597 Idaho

Profile Details

NPI number 1497807416
LBN Legal business name Anderson, Katie Marie
Credentials LPC M. COUN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497807416 NPPES
Idaho Other 000010155545 BLUE SHIELD OF IDAHO
Idaho Other X6890 BLUE SHIELD OF IDAHO

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