Organization
LAKEHAVEN COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HLEBICHUK LCSW (OWNER)
(208) 704-0046
Entity
Organization
Contact information
Practice address
21 W COMMERCE DR STE F, HAYDEN, ID 83835-9289
(208) 704-0046
Mailing address
PO BOX 895, HAYDEN, ID 83835-0895
(208) 704-0046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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