| Broadtree Integrative Counseling | |
|
409 N Main St Hailey ID 83333-8416 | |
| (208) 922-7064 | |
| (208) 928-7647 |
| Full Name | Broadtree Integrative Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 409 N Main St, Hailey, Idaho |
| Authorized Official Name and Position | Stephanie Hatzenbuehler (LCSW/OWNER) |
| Authorized Official Contact | 2089227064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadtree Integrative Counseling 409 N Main St Hailey ID 83333-8416 Ph: (208) 922-7064 | Broadtree Integrative Counseling 409 N Main St Hailey ID 83333-8416 Ph: (208) 922-7064 |
| NPI Number | 1467935841 |
|---|---|
| Provider Enumeration Date | 09/11/2018 |
| Last Update Date | 09/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467935841 | NPI | - | NPPES |
| 1831362821 | Other | ME | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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