John Hochhalter, Lpc | |
4460 Central Way Suite 2 Chubbuck ID 83202-5095 | |
(208) 237-1711 | |
(208) 237-5192 |
Full Name | John Hochhalter, Lpc |
---|---|
Speciality | Community/behavioral Health |
Location | 4460 Central Way, Chubbuck, Idaho |
Authorized Official Name and Position | John Scott Hochhalter (COUNSELOR) |
Authorized Official Contact | 2082371711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John Hochhalter, Lpc 4460 Central Way Suite 2 Chubbuck ID 83202-5095 Ph: (208) 237-1711 | John Hochhalter, Lpc 4460 Central Way Suite 2 Chubbuck ID 83202-5095 Ph: (208) 237-1711 |
NPI Number | 1821387242 |
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Provider Enumeration Date | 04/06/2011 |
Last Update Date | 04/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821387242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC4157 (Idaho) | Primary |
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