Individual
DANIEL MARTIN HOOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC LCPC
Contact information
Practice address
9700 W STATE ST, STAR, ID 83669-5766
(503) 887-5168
Mailing address
9700 W STATE ST, STAR, ID 83669-5766
(503) 887-5168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C6944
OR
101YP2500X
Professional Counselor
Primary
LCPC-9153
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15810840
CAQH
ID
Enumeration date
01/13/2023
Last updated
01/13/2023
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