SearchIdaho101YM0800X

Justin Hacking, LPC

NPI 1932449667 · on the registry since 2013

Practice

Address
1011 W Williams St
Suite G
Boise, ID 83706
Phone
(208) 991-0077
Fax
(208) 922-3778
Clinicians at this address
6

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
2013-04-16

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