Individual
KATELYN M VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
847 PARKCENTRE WAY STE 7, NAMPA, ID 83651-1794
(208) 229-6050
(855) 212-5682
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
(208) 898-3365
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
10/18/2021
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