Provider Demographics
NPI:1730496035
Name:THOMAS R VAN FOSSEN
Entity Type:Organization
Organization Name:THOMAS R VAN FOSSEN
Other - Org Name:ANSWERS AND ALTERNATIVES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:VAN FOSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MED,MS,LMFT
Authorized Official - Phone:208-667-7603
Mailing Address - Street 1:5431 N GOVERNMENT WAY # B
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-5073
Mailing Address - Country:US
Mailing Address - Phone:208-667-7603
Mailing Address - Fax:208-667-7609
Practice Address - Street 1:5431 N GOVERNMENT WAY # B
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-5073
Practice Address - Country:US
Practice Address - Phone:208-667-7603
Practice Address - Fax:208-667-7609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty