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Individual

JOE A ANDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2088 E 25TH ST, IDAHO FALLS, ID 83404-6490
(208) 528-7655
Mailing address
2088 E 25TH ST, IDAHO FALLS, ID 83404-6490
(208) 528-7655

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC4350
ID

Other

Enumeration date
01/13/2010
Last updated
07/29/2025
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