Individual
REBECCA BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, ACADC
Contact information
Practice address
400 N BENJAMIN LN, SUITE #201, BOISE, ID 83704-5094
(208) 577-4887
Mailing address
400 N BENJAMIN LN, SUITE #201, BOISE, ID 83704-5094
(208) 577-4887
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164
ID
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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