SearchIdaho101YP2500X

Kyle Hanson, LPC

NPI 1942656020 · on the registry since 2016

Practice

Address
421 Memorial Dr
Pocatello, ID 83201
Phone
(208) 234-7900
Organisation at this address
Idaho State University
Idaho Dept Of Health & Welfare Reg 6 Cm
Idaho Dept Of Health & Welfare Itp Region 6
Idaho Dept Of Health & Welfare Esc Region 6
Idaho Dept Of Health &Welfare Reg 6 Cmh Psr P
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-09

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