Individual
SUSAN LEIGH EARNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2300 S ORCHARD ST STE B, BOISE, ID 83705-6722
(208) 996-3879
(208) 473-7272
Mailing address
2300 S ORCHARD ST STE B, BOISE, ID 83705-6722
(208) 996-3879
(208) 473-7272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-7794
ID
101YP2500X
Professional Counselor
Primary
LCPC-7794
ID
Other
Enumeration date
06/05/2017
Last updated
08/12/2020
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