Individual
LESLEY HOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1414 W FRANKLIN ST, BOISE, ID 83702-5023
(208) 258-4249
Mailing address
1414 W FRANKLIN ST, BOISE, ID 83702-5023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-7122
ID
Other
Enumeration date
03/25/2016
Last updated
03/22/2019
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