Organization
TRAUMA AND GRIEF COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKS BASTIAN HANKS PHD, LCPC (OWNER)
(208) 251-6030
Entity
Organization
Contact information
Practice address
5164 CANTERBURY ST, CHUBBUCK, ID 83202-5065
(208) 251-6030
Mailing address
5164 CANTERBURY ST, CHUBBUCK, ID 83202
(208) 251-6030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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