Vanessa Hanson, LCPC

NPI #1669719464 in Chubbuck, Idaho

Provider Information

NPI Number: 1669719464
Entity Type: Individual
Name: Vanessa Hanson, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCPC
Enumeration Date: Jan 14, 2013
Last Updated: Dec 6, 2023

Practice Location

Address: 265 E CHUBBUCK ROAD
City: Chubbuck
State: Idaho
ZIP Code: 83202-5055
Phone: (208) 237-1711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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