Individual
RACHEL HACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 466-7443
Mailing address
5520 3RD AVE, NAMPA, ID 83686-9576
(208) 615-0617
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMSW-36353
ID
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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