Individual
NOOR HASSUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
(208) 322-1026
(208) 322-1029
Mailing address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
(208) 322-1026
(208) 322-1029
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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