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1508630401
KATHLEEN VANEK
POCATELLO, ID
NPI
1508630401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-9529)
Enumeration Date
2023-11-10
Last Update Date
2023-11-10
Business Address
KATHLEEN VANEK LPC
1448 E CENTER ST STE A1
POCATELLO, ID 83201-4132
Phone number: 208-269-5595
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Mailing Address
KATHLEEN VANEK LPC
91 MOUNTAIN DR
POCATELLO, ID 83204-4724
Phone number: 208-251-2867
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