Individual
SUSAN K MACOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
500 S 11TH AVE, STE 402A, POCATELLO, ID 83201-4880
(208) 242-2335
(208) 242-2344
Mailing address
500 S 11TH AVE, STE 402A, POCATELLO, ID 83201-4880
(208) 242-2335
(208) 242-2344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3891
ID
101YP2500X
Professional Counselor
Primary
LCPC-6826
ID
Other
Enumeration date
08/14/2007
Last updated
09/06/2023
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