AHNA RACHAEL HATCH
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1164395109- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1302 E 17TH ST, IDAHO FALLS, ID, 834046270
- Phone
- (208) 642-9919
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #4171563
All Addresses
MAILING
184 W 265 N
BLACKFOOT, ID, 832215182