person
John David Hattaway, LPC
Professional Counselor in Salmon, Idaho
NPI 1447875059

John David Hattaway is a Professional Counselor based in Idaho Falls, ID and is specialized in Professional. John David Hattaway practices in Salmon, ID and has the professional credentials of LPC. The NPI Number for John David Hattaway is 1447875059 and holds a License No. LPC-2798 (Idaho).

The current practice location address for John David Hattaway is 1301 Main St Ste 3B, Salmon, ID and can be reached out via phone at 208-756-2927 and via fax at 208-756-1518.

Location: 1301 Main St Ste 3B, Salmon, ID, 83401-4254
person
Provider Profile Details
NPI Number
1447875059
Provider Name
John David Hattaway
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1301 Main St Ste 3B, Salmon, ID, 83401-4254
Phone Number
208-756-2927
Fax Number
208-756-1518
Provider Enumeration Date
06/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1301 Main St Ste 3B
City
State
Zip
83467-4452
Phone Number
208-756-2927
Fax Number
208-756-1518
person
Provider Business Mailing Address Details
Address
1301 Main St Ste 3B
City
State
Zip
83467-4452
Phone Number
208-756-2927
Fax Number
208-756-1518
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-2798 (Idaho)
Definition
Definition to come...
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