Individual
SUSAN M HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2235 E 25TH ST, SUITE 290, IDAHO FALLS, ID 83404-7519
(208) 612-2272
(888) 445-7083
Mailing address
2320 BELMONT AVE, IDAHO FALLS, ID 83404-6448
(208) 523-2344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC 2674
ID
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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