Lora R Hasse LPC, CADC

NPI 1780016261 - Counselor - 101Y00000X

NPI Details
NPI 1780016261
Gender Female
Enumeration Date 08/06/2013
Last Updated 08/06/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
400 N BENJAMIN LN
201
BOISE ID, 83704-5094, US
Phone (208) 287-5613
Fax
Business Location
12575 W GAMBRELL ST
STAR ID, 83669-5024, US
Phone (208) 287-5613
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Idaho
License Number LPC-5322
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According to our database, Lora R Hasse LPC, CADC NPI is 1780016261, taxonomy code is 101Y00000X and license number is LPC-5322, license state is located at Idaho. Lora R Hasse LPC, CADC physically located at 400 N Benjamin Ln, Boise ID, 83704-5094. NPI Number Lora R Hasse LPC, CADC has the Individual type.

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1780016261 NPI number is provided on an as is basis without warranty of any kind. 1780016261 is maintained by the National Plan & Provider Enumeration System. The contents of Lora R Hasse LPC, CADC are for informational purposes only.