Individual
HANNAH CLAIRE DEJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
316 S JEFFERSON ST, MOSCOW, ID 83843-2936
(208) 883-1144
Mailing address
316 S JEFFERSON ST, MOSCOW, ID 83843-2936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10046
ID
Other
Enumeration date
01/09/2024
Last updated
01/15/2024
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