Travis Haase, LCPC

NPI 1649536418 · on the registry since 2012 · sole proprietor

Practice

Address: 413 N Allumbaugh St
Suite 101
Boise, ID 83704
Phone: (208) 323-1125
Organisation at this address: Piktel Llc
Omar Rahman Syed
Ct Clancy Md Llc
Mark A Jepson Pllc
Tempo Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 31

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho