CHARLIE N HANSEN LPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1962082594- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 265 E CHUBBUCK RD, CHUBBUCK, ID, 832025055
- Phone
- (208) 237-1711
- Fax
- (208) 237-9806
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #LPC-7001