THOMAS R VANFOSSEN

COEUR D ALENE, ID
NPI1124245576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: ID  LMFT3019)
Enumeration Date2007-04-19
Last Update Date2010-12-01
Business Address
-- THOMAS R VANFOSSEN LMFT
5431 N GOVERNMENT WAY SUITE B
COEUR D ALENE, ID 83815-5073
Phone number: 208-667-7603
Mailing Address
-- THOMAS R VANFOSSEN LMFT
5431 N GOVERNMENT WAY SUITE B
COEUR D ALENE, ID 83815-5073
Phone number: 208-667-7603