| Vanessa Hanson, LCPC | |
|
265 E Chubbuck Road, Chubbuck, ID 83202-5055 | |
| (208) 237-1711 | |
| (208) 237-9806 |
| Full Name | Vanessa Hanson |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 265 E Chubbuck Road, Chubbuck, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669719464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | LCPC-6839 (Idaho) | Primary |
| Entity Name | Center Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104374974 PECOS PAC ID: 6709165442 Enrollment ID: O20161121000205 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Hanson, LCPC 265 E Chubbuck Road, Chubbuck, ID 83202-5055 Ph: (208) 237-1711 | Vanessa Hanson, LCPC 265 E Chubbuck Road, Chubbuck, ID 83202-5055 Ph: (208) 237-1711 |
Lavon Marie Cole, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
Nancy Bentley, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
David Averill, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 Kings Way Ste 2, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-5192 | |
Sara Stengel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 387 Chesapeake Ave, Chubbuck, ID 83202 Phone: 208-352-6486 | |
Heather Neaman, LPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
Nicholas Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4737 S Afton Pl Ste A, Chubbuck, ID 83202 Phone: 208-417-0623 | |
Jade Letourneau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 |