Individual
MR. SEAN HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPC
Contact information
Practice address
378 FALLS AVE, TWIN FALLS, ID 83301-3373
(208) 293-8062
Mailing address
1709 DORA DR N, TWIN FALLS, ID 83301-4252
(208) 539-6791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-4973
ID
101YP2500X
Professional Counselor
Primary
LPC-4973
ID
Other
Enumeration date
06/20/2012
Last updated
06/15/2015
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