Individual
JOSEPH LEE VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCPC
Contact information
Practice address
847 PARKCENTRE WAY STE 4, NAMPA, ID 83651-1794
(208) 467-2673
(208) 467-4150
Mailing address
847 PARKCENTRE WAY STE 4, NAMPA, ID 83651-1794
(208) 467-2673
(208) 467-4150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3936
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010153423
REGENCE BLUE SHIELD OF ID
ID
Enumeration date
08/30/2006
Last updated
06/15/2016
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