Robert Andrew De Wall, LCPC
NPI #1114228384 in Pocatello, Idaho
Provider Information
- NPI Number
- 1114228384
- Entity Type
- Individual
- Name
- Robert Andrew De Wall, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Nov 4, 2010
- Last Updated
- Oct 22, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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