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Individual

HANNAH WENLE GOTTENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1191 E IRON EAGLE DR STE 100, EAGLE, ID 83616-5139
(208) 805-2324
Mailing address
1191 E IRON EAGLE DR STE 100, EAGLE, ID 83616-5139
(208) 805-2324

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5371462
ID

Other

Enumeration date
06/06/2025
Last updated
06/06/2025
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