MEDICARE: ANSWERS AND ALTERNATIVES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	LPC-2700	ID

General Provider Information

NPI Number	:	1992842561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANSWERS AND ALTERNATIVES

Provider Business Mailing Address
First Line	:	PO BOX 533
Second Line	:
City	:	ST MARIES
State	:	ID
Zip	:	83861-0533
Country	:	US
Telephone Number	:	208-245-4363
Fax Number	:

Provider Business Practice Location Address
First Line	:	622 W COLLEGE AVE
Second Line	:
City	:	ST MARIES
State	:	ID
Zip	:	83861-1822
Country	:	US
Telephone Number	:	208-245-4363
Fax Number	:	208-245-4349

Authorized Official
Title or Position	:	OWNER
Name	:	MR. THOMAS ROBERT VAN FOSSEN
Credential	:	M.ED., M.S.
Telephone Number	:	208-245-4363

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	08/22/2020

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Directions to “ANSWERS AND ALTERNATIVES ” Practice Location

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