Individual
VANESSA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
265 E CHUBBUCK ROAD, CHUBBUCK, ID 83202-5055
(208) 237-1711
(208) 237-9806
Mailing address
265 E CHUBBUCK ROAD, CHUBBUCK, ID 83202-5055
(208) 237-1711
(208) 237-9806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-6839
ID
101Y00000X
Counselor
—
—
Other
Enumeration date
01/14/2013
Last updated
12/06/2023
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