Individual
HAILEY SAGE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3317 E CHASEWOOD DR, AMMON, ID 83406-4007
(208) 403-0135
Mailing address
3317 E CHASEWOOD DR, AMMON, ID 83406-4007
(208) 403-0135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4171581
ID
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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