AMY RAE WANSTROM

POCATELLO, ID
NPI1639870462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LPC-9391)
Enumeration Date2023-03-17
Last Update Date2023-03-17
Business Address
Mrs. AMY RAE WANSTROM LPC
1800 GARRETT WAY STE 47
POCATELLO, ID 83201-5132
Phone number: 208-252-6464
Mailing Address
Mrs. AMY RAE WANSTROM LPC
358 N 200 W
BLACKFOOT, ID 83221-5703
Phone number: 208-604-0753