Amy Holloway, ED.S. Valid NPI
Individual provider · Mental Health Counselor · Chubbuck, ID
- NPI
- 1700174026
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- SE-202592 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-07-20
- Last updated
- 2011-07-20
Practice location
4650 Hawthorne Rd Ste 3b
Chubbuck, ID 83202-2376
(208) 223-7983