Individual
MR. AARON HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1428 S EDGEWATER CIR STE 202, NAMPA, ID 83686-2845
(208) 615-2618
Mailing address
1428 S EDGEWATER CIR STE 202, NAMPA, ID 83686-2845
(208) 615-2618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111228
CERTIFIED SEXUAL ADDICTION COUNSELOR
—
Enumeration date
07/06/2022
Last updated
07/06/2022
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