Individual provider · Type 1 NPI

Charlene Anne Holloway, LMSW

Mental Health Counselor · Idaho Falls, ID

NPI number 1912778895 Active

Practice location

855 N Capital Ave Ste 1
Idaho Falls, ID 83402-3405

Fax (208) 523-1132

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMSW44331 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1912778895

Charlene Anne Holloway, LMSW's National Provider Identifier is 1912778895, issued on Jan 10, 2024. 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 Jan 10, 2024.