Charlie N Hansen, LPC

NPI #1962082594 in Chubbuck, Idaho

Provider Information

NPI Number
1962082594
Entity Type
Individual
Name
Charlie N Hansen, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Apr 8, 2021
Last Updated
Apr 8, 2021

Practice Location

Address
265 E CHUBBUCK RD
State
Idaho
ZIP Code
83202-5055
Phone
(208) 237-1711

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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