John David Hattaway, LPC | |
1301 Main St Ste 3b, Salmon, ID 83467-4452 | |
(208) 756-2927 | |
(208) 756-1518 |
Full Name | John David Hattaway |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1301 Main St Ste 3b, Salmon, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447875059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-2798 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
John David Hattaway, LPC 1380 Benton St, Idaho Falls, ID 83401-4254 Ph: (208) 523-2490 | John David Hattaway, LPC 1301 Main St Ste 3b, Salmon, ID 83467-4452 Ph: (208) 756-2927 |
Thomas Monroe Maas, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 Monroe St, Salmon, ID 83467 Phone: 208-589-7462 | |
Mr. Howard L Carroll, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Lillian St, Suite 101, Salmon, ID 83467 Phone: 208-756-2970 Fax: 208-756-3018 | |
Rachel Pearson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Main St Ste 3b, Salmon, ID 83467 Phone: 208-756-2927 | |
Coleen Baird Phelps, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Main St., Suite 3b, Salmon, ID 83467 Phone: 208-756-2927 Fax: 208-756-1518 |