PAMELA VANCE CRC, LPC
NPI 1689392805
Counselor - Professional in Boise, ID

Active since August 15, 2022
4948 W KOOTENAI ST, BOISE, ID 83705(208) 987-1544(208) 213-3861 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 22, 2023, Aug 15, 2022 (2 updates tracked since 2022).

  • Individual
  • Female
  • Counselor
  • Professional

About PAMELA VANCE

This page provides the complete NPI Profile along with additional information for Pamela Vance, a provider established in Boise, Idaho with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1689392805 assigned on August 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 9030 (ID). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1689392805 Verify this NPI
Provider Name
PAMELA VANCE CRC, LPC
Gender
Female
Entity Type
Individual
Location Address
4948 W KOOTENAI ST BOISE, ID 83705
Location Phone
(208) 987-1544
Location Fax
(208) 213-3861
Mailing Address
1101 S BERKELEY ST BOISE, ID 83705
Is Sole Proprietor?
Yes
Enumeration Date
08-15-2022
Last Update Date
11-22-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
9030
License State
ID

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Mental Health)
4948 W KOOTENAI ST, SUITE 207
BOISE, ID 83705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689392805, enumerated as an "individual" on August 15, 2022.

The provider is located at 4948 W KOOTENAI ST BOISE, ID 83705 and the phone number is (208) 987-1544.

Counselor with taxonomy code 101YP2500X and a focus in Professional.