Trauma and Grief Counseling, LLC

NPI #1942054838 in Chubbuck, Idaho

Provider Information

NPI Number
1942054838
Entity Type
Organization
Organization Name
Trauma and Grief Counseling, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 16, 2024
Last Updated
Apr 16, 2024

Practice Location

Address
5164 CANTERBURY ST
State
Idaho
ZIP Code
83202-5065
Phone
(208) 251-6030

Authorized Official

Name
DR. BROOKS BASTIAN HANKS, PHD, LCPC
Title
OWNER
Phone
(208) 251-6030

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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