Organization
HEALTHY RESOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE C. HAHN PH.D. (AGENCY DIRECTOR)
(208) 786-7040
Entity
Organization
Contact information
Practice address
135 MCKINLEY AVE, KELLOGG, ID 83837-2567
(208) 786-7040
(208) 682-9952
Mailing address
135 MCKINLEY AVE, KELLOGG, ID 83837-2567
(208) 786-7040
(208) 682-9952
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0-246
ID
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
26450
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19225121086
—
ID
Enumeration date
08/20/2013
Last updated
08/20/2013
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