Individual
CASANDRA SUZANNE VEGWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8050 W NORTHVIEW ST, BOISE, ID 83704-7126
(208) 327-0504
(208) 321-8048
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9280
ID
Other
Enumeration date
05/02/2023
Last updated
01/07/2026
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