Vandersteen, Peter John

Vandersteen, Peter John is an sole proprietor health care provider with primary practice located at 403 Ponderosa Ct Apt 101 , Moscow ID 83843-3453. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Vandersteen, Peter John can be contacted via phone (208) 717-1130.

Contact Information

Primary practice address
403 Ponderosa Ct Apt 101 Moscow ID 83843-3453
Phone: (208) 717-1130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CADC-5045 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60898613 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-9428 Idaho

Profile Details

NPI number 1699179242
LBN Legal business name Vandersteen, Peter John
Credentials MA, LMHC, LCPC, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2014
Last updated Jan 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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