Wagstaff, Anne Bacon
Wagstaff, Anne Bacon is an individual health care provider with primary practice located at 7905 N Meadowlark Way Suite C, Coeur D Alene ID 83815-5041. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wagstaff, Anne Bacon can be contacted via phone (208) 762-3979.Contact Information
Primary practice address
7905 N Meadowlark Way Suite C
Coeur D Alene ID 83815-5041
Phone: (208) 762-3979
Fax: (208) 762-4419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-779 | Idaho |
Profile Details
| NPI number | 1962572230 |
|---|---|
| LBN Legal business name | Wagstaff, Anne Bacon |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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