Thomas R Vanfossen, LMFT

NPI #1124245576 in Coeur D Alene, Idaho

Provider Information

NPI Number
1124245576
Entity Type
Individual
Name
Thomas R Vanfossen, LMFT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Credential
LMFT
Enumeration Date
Apr 19, 2007
Last Updated
Dec 1, 2010

Practice Location

Address
5431 N GOVERNMENT WAY
Address 2
SUITE B
State
Idaho
ZIP Code
83815-5073
Phone
(208) 667-7603

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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