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Individual

MR. CHAD N HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4 OGDEN AVE, NAMPA, ID 83651-2371
(208) 505-4314
(208) 475-4460
Mailing address
4 OGDEN AVE, NAMPA, ID 83651-2371
(208) 505-4314

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-5265
ID

Other

Enumeration date
09/18/2013
Last updated
12/28/2020
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