Individual provider · Type 1 NPI

Travis Paul Haase, LCPC

Mental Health Counselor · Boise, ID

NPI number 1649536418 Active

Practice location

413 N Allumbaugh St, Suite 101
Boise, ID 83704-9212

Mailing address

2704 Sunflower Dr
Nampa, ID 83686-7118

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4901 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1649536418

Travis Paul Haase, LCPC's National Provider Identifier is 1649536418, issued on Apr 5, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Apr 5, 2012.