PAMELA VANCE CRC, LPC
NPI 1689392805
Counselor - Professional in Boise, ID
- 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
- Code Navigator
Location Map
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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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.