Individual
ANNE M HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
227 S MAIN ST, PAYETTE, ID 83661-2852
(208) 230-2989
Mailing address
227 S MAIN ST, PAYETTE, ID 83661-2852
(208) 809-9263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10118
ID
101YM0800X
Mental Health Counselor
Primary
LPC-5177
ID
101YP2500X
Professional Counselor
LPC 5177
ID
Other
Enumeration date
02/19/2013
Last updated
09/21/2022
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