Individual
STEPHANIE L HAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6203 W FRANKLIN RD, BOISE, ID 83709-1042
(208) 949-3056
Mailing address
6203 W FRANKLIN RD, BOISE, ID 83709-1042
(208) 949-3056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00276
MN
101YP2500X
Professional Counselor
3764
WI
101YP2500X
Professional Counselor
Primary
4209
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43705400
—
WI
Enumeration date
09/13/2006
Last updated
07/20/2009
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