Ian Vassilaros, LPC

NPI #1922838952 in Rexburg, Idaho

Provider Information

NPI Number
1922838952
Entity Type
Individual
Name
Ian Vassilaros, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Aug 5, 2024
Last Updated
Aug 5, 2024

Practice Location

Address
218 E MAIN ST
State
Idaho
ZIP Code
83440-2022
Phone
(877) 553-6238

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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