Organization
AUTHENTIC CONNECTIONS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA HICKMAN (OWNER)
(208) 219-7010
Entity
Organization
Contact information
Practice address
2705 E 17TH ST, AMMON, ID 83406-6601
(208) 219-7010
Mailing address
2705 E 17TH ST, AMMON, ID 83406-6601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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