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NPI Code Detail

MEDICARE: KATHRYN CHRISTINE HAJOS MS-MHC

MEDICARE: KATHRYN CHRISTINE HAJOS MS-MHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3271567ID

General Provider Information

NPI Number : 1831082452
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN CHRISTINE HAJOS MS-MHC
Provider Business Mailing Address
First Line : PO BOX 132
Second Line :
City : SANTA
State : ID
Zip : 83866-0132
Country : US
Telephone Number : 989-233-7139
Fax Number :
Provider Business Practice Location Address
First Line : 317 W 6TH ST STE 208
Second Line :
City : MOSCOW
State : ID
Zip : 83843-2387
Country : US
Telephone Number : 208-882-3504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 06/03/2025

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Directions to “ KATHRYN CHRISTINE HAJOS MS-MHC” Practice Location

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