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Organization
BIGFOOT COUNSELING, LLC
Active
Organization
BIGFOOT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TYSON HANSEN (OWNER)
(208) 777-2169
Entity
Organization
Contact information
Practice address
570 S CLEARWATER LOOP STE B, POST FALLS, ID 83854-5437
(208) 777-2169
(208) 777-2189
Mailing address
570 S CLEARWATER LOOP STE B, POST FALLS, ID 83854-5437
(208) 777-2169
(208) 777-2189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
05/12/2020
Last updated
08/05/2026
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