Individual
DOUG HULETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
496 A ST, IDAHO FALLS, ID 83402-3617
(208) 552-7100
(208) 552-7101
Mailing address
566 E 13TH ST, IDAHO FALLS, ID 83404-5363
(208) 552-7100
(208) 552-7101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
214133
ID
101YP2500X
Professional Counselor
Primary
LCPC-8868
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806110000
—
ID
Enumeration date
08/30/2006
Last updated
03/08/2026
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