Individual
JOHN DAVID HATTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1301 MAIN ST STE 3B, SALMON, ID 83467-4452
(208) 756-2927
(208) 756-1518
Mailing address
1380 BENTON ST, IDAHO FALLS, ID 83401-4201
(208) 523-2490
(208) 522-2603
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2798
ID
Other
Enumeration date
06/09/2020
Last updated
03/30/2026
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