Charlie N Hansen, LPC Valid NPI

Individual provider · Professional Counselor · Chubbuck, ID

NPI

1962082594

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

LPC-7001 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2021-04-08

Last updated

2021-04-08