Whalio Doctors

NPI 1124245576

Thomas R Vanfossen, LMFT

Practitioner Marriage & Family Therapist Coeur D Alene, ID

Practice location

Address
5431 N Government Way Suite B, Coeur D Alene, ID 83815-5073
Phone
(208) 667-7603
Fax
(208) 667-7609

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence LMFT3019 (ID)

Registry record

NPI
1124245576
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Apr 2007
Record last updated
1 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.