Individual
HAILEY WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
284 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-7186
Mailing address
803 PINE ST, FILER, ID 83328-5429
(208) 490-4498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8671684
ID
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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