ANNE BACON WAGSTAFF LPC NPI 1962572230

NPI Information

NPI: 1962572230
Provider Name: ANNE BACON WAGSTAFF, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
7905 N MEADOWLARK WAY
SUITE C
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 762-3979
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Anne Bacon Wagstaff, LPC is a professional counselor in Coeur D Alene, ID. Anne Bacon Wagstaff, LPC NPI is 1962572230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7905 N MEADOWLARK WAY
SUITE C
COEUR D ALENE, ID
ZIP 83815-041
Phone: (208) 762-3979
Fax: (208) 762-4419

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC-779	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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