Individual
SUSAN D OLDENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
717 N 11TH ST, BOISE, ID 83702-5365
(208) 319-1002
(208) 343-0000
Mailing address
717 N 11TH ST, BOISE, ID 83702-5365
(208) 319-1002
(208) 343-0000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4823
ID
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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