Individual
PAUL VANDAELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA; LPC
Contact information
Practice address
3350 W AMERICANA TER STE 210B, BOISE, ID 83706-2521
(720) 212-7446
Mailing address
2646 N COLUMBINE AVE, BOISE, ID 83713-5257
(720) 212-7446
(208) 485-8911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5781
ID
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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