Individual provider · Type 1 NPI

Susan M. Holmes, LCPC

Mental Health Counselor · Idaho Falls, ID

NPI number 1053780882 Active

Practice location

2235 E 25th St, Suite 290
Idaho Falls, ID 83404-7519

Call (208) 612-2272 Map

Fax (888) 445-7083

Mailing address

2320 Belmont Ave
Idaho Falls, ID 83404-6448

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC 2674 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1053780882

Susan M. Holmes, LCPC's National Provider Identifier is 1053780882, issued on Sep 22, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 22, 2015.