IndividualActive
Jan Andrus
NPI 1952020257 · Pastoral Counselor · Newman Lake, WA
Provider details
- NPI number
- 1952020257
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6701 N Idaho Rd
Newman Lake, WA 99025-9557
Phone: (208) 329-7676
Approximate (ZIP-level) locationGet directions
Mailing address
1121 E Mullan Ave Apt 2
Coeur D Alene, ID 83814-4054
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.