| Doctor Name: | NANCY HENSEN |
| NPI Number: | 1013131366 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC, NCC |
| License Number: | LCPC- 4707 |
| Business Practice Address: | 224 Evans Ln Chubbuck, ID - 832021912 |
| Business Phone Number: | 2082374782 |
| Business Fax Number: | 2082379042 |
| Mailing Address: | 224 Evans Ln, CHUBBUCK |
| State: | ID |
| Postal Code: | 832021912 |
| Phone Number: | 2082374782 |
| Fax Number: | 2082379042 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 04/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCPC- 4707 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |