person
Charlie N Hansen, LPC
Professional Counselor in Chubbuck, Idaho
NPI 1962082594

Charlie N Hansen is a Professional Counselor based in Blackfoot, ID and is specialized in Professional. Charlie N Hansen practices in Chubbuck, ID and has the professional credentials of LPC. The NPI Number for Charlie N Hansen is 1962082594 and holds a License No. LPC-7001 (Idaho).

The current practice location address for Charlie N Hansen is 265 E Chubbuck Rd, Chubbuck, ID and can be reached out via phone at 208-237-1711 and via fax at 208-237-9806. You can also correspond with Charlie N Hansen through the mailing address at 1027 N UNIVERSITY AVE, BLACKFOOT, ID - 83221-1862 (mailing address contact number: 208-716-3003).

Location: 265 E Chubbuck Rd, Chubbuck, ID, 83221-1862
person
Provider Profile Details
NPI Number
1962082594
Provider Name
Charlie N Hansen
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
265 E Chubbuck Rd, Chubbuck, ID, 83221-1862
Phone Number
208-237-1711
Fax Number
208-237-9806
Provider Enumeration Date
04/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
265 E Chubbuck Rd
City
State
Zip
83202-5055
Phone Number
208-237-1711
Fax Number
208-237-9806
person
Provider Business Mailing Address Details
Address
1027 N University Ave
City
State
Zip
83221-1862
Phone Number
208-716-3003
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-7001 (Idaho)
Definition
Definition to come...
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