DANA L VANDERGIESSEN

MERIDIAN, ID
NPI1760627657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LCPC4166)
Enumeration Date2008-12-08
Last Update Date2008-12-08
Business Address
-- DANA L VANDERGIESSEN LCPC
2770 E FRANKLIN RD
MERIDIAN, ID 83642-5953
Phone number: 208-855-0660
Mailing Address
-- DANA L VANDERGIESSEN LCPC
355 STAGECOACH WAY
KUNA, ID 83634-2341
Phone number: 208-420-3199