Individual provider · Type 1 NPI

Charlie N. Hansen, LPC

Professional Counselor · Chubbuck, ID

NPI number 1962082594 Active

Practice location

265 E Chubbuck Rd
Chubbuck, ID 83202-5055

Call (208) 237-1711 Map

Fax (208) 237-9806

Mailing address

1027 N University Ave
Blackfoot, ID 83221-1862

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-7001 (ID)

Professional Counselor: Definition to come...

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About NPI 1962082594

Charlie N. Hansen, LPC's National Provider Identifier is 1962082594, issued on Apr 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chubbuck, ID. The record was last updated on Apr 8, 2021.