Hanson, Kyle

Hanson, Kyle is an individual health care provider with primary practice located at 421 Memorial Dr , Pocatello ID 83201-4008. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Hanson, Kyle can be contacted via phone (208) 234-7900.

Contact Information

Primary practice address
421 Memorial Dr Pocatello ID 83201-4008
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5356 Idaho

Profile Details

NPI number 1942656020
LBN Legal business name Hanson, Kyle
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2016
Last updated May 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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