Individual
JOANNA HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 BELMONT ST., BOISE, ID 83706
(208) 426-1459
Mailing address
3341 S GRENZE WAY, MERIDIAN, ID 83642-8673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9286
ID
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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