Anstine, Vanessa Renee

Anstine, Vanessa Renee is an sole proprietor health care provider with primary practice located at 1044 Northwest Blvd Suite E 118, Coeur D Alene ID 83814-2114. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Anstine, Vanessa Renee can be contacted via phone (208) 659-0958.

Contact Information

Primary practice address
1044 Northwest Blvd Suite E 118 Coeur D Alene ID 83814-2114
Phone: (208) 659-0958
Fax: (877) 777-6965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-314 Idaho

Profile Details

NPI number 1114132693
LBN Legal business name Anstine, Vanessa Renee
Credentials MED., LCPC, NCC, DCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Oct 18th, 2016 - about 8 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 1114132693 NPPES
Other 5128563 AMERICAN COUNSELING ASSOC
Other CRC-00014445 AMERICAN COUNSELING ASSOC
Other NCC-64680 AMERICAN COUNSELING ASSOC
Other DCC 1776 AMERICAN COUNSELING ASSOC
Other LCPC-314 AMERICAN COUNSELING ASSOC
Other 11834998 AMERICAN COUNSELING ASSOC
MEDICAID 805716700 AMERICAN COUNSELING ASSOC

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