Organization
ACCESS LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HANSEN LPC (OWNER)
(208) 922-2207
Entity
Organization
Contact information
Practice address
690 S INDUSTRY WAY STE 45, MERIDIAN, ID 83642-7907
(208) 922-2207
Mailing address
690 S INDUSTRY WAY STE 45, MERIDIAN, ID 83642-7907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-4480
ID
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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