| Rebecca S Hauder Lcpc Lmft | |
|
1674 Hill Rd Ste 14 Boise ID 83702-0958 | |
| (208) 336-0200 | |
| (208) 336-3837 |
| Full Name | Rebecca S Hauder Lcpc Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1674 Hill Rd, Boise, Idaho |
| Authorized Official Name and Position | Rebecca S Hauder (PRESIDENT) |
| Authorized Official Contact | 2083360200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca S Hauder Lcpc Lmft 1674 Hill Rd Ste 14 Boise ID 83702-0958 Ph: (208) 336-0200 | Rebecca S Hauder Lcpc Lmft 1674 Hill Rd Ste 14 Boise ID 83702-0958 Ph: (208) 336-0200 |
| NPI Number | 1841302171 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841302171 | NPI | - | NPPES |
| 000010016724 | Other | ID | BLUE SHIELD |
| Q4624 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC52 (Idaho) | Primary |
| 106H00000X | Marriage & Family Therapist | LMFT2844 (Idaho) | Primary |
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