Individual
PADEN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12849 N FARLEY WAY, RATHDRUM, ID 83858-0940
(208) 505-8155
(208) 416-6663
Mailing address
12849 N FARLEY WAY, RATHDRUM, ID 83858-0940
(509) 863-7567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61435822
WA
Other
Enumeration date
09/26/2019
Last updated
07/09/2024
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