Individual
ANDREA LYN PANCHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1565 E LINCOLN RD, IDAHO FALLS, ID 83401-2129
(208) 269-6220
Mailing address
1565 E LINCOLN RD, IDAHO FALLS, ID 83401-2129
(208) 524-8996
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-8844
ID
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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