Individual
AUSTIN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3061 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-8817
(208) 620-5399
Mailing address
3061 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-8817
(208) 620-5399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9371460
ID
Other
Enumeration date
06/10/2025
Last updated
06/17/2025
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