Provider Demographics
NPI:1447450234
Name:DAY, JOANN (LCPC)
Entity type:Individual
Prefix:MS
First Name:JOANN
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:JOANN
Other - Middle Name:
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCPC
Mailing Address - Street 1:704 W HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-4928
Mailing Address - Country:US
Mailing Address - Phone:208-484-1917
Mailing Address - Fax:208-468-3138
Practice Address - Street 1:1214 12TH AVE S
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-4665
Practice Address - Country:US
Practice Address - Phone:208-484-1917
Practice Address - Fax:208-468-3138
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-2822101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health