person
Susan K Macomb, LCPC
Professional Counselor in Pocatello, Idaho
NPI 1265624100

Susan K Macomb is a Professional Counselor based in Pocatello, ID and is specialized in Professional. Susan K Macomb practices in Pocatello, ID and has the professional credentials of LCPC. The NPI Number for Susan K Macomb is 1265624100 and holds a License No. 3891 (Idaho).

The current practice location address for Susan K Macomb is 500 S 11Th Ave, Ste 402A, Pocatello, ID and can be reached out via phone at 208-242-2335 and via fax at 208-242-2344. You can also correspond with Susan K Macomb through the mailing address at 500 S 11TH AVE, STE 402A, POCATELLO, ID - 83201-4880 (mailing address contact number: 208-242-2335).

Location: 500 S 11Th Ave, Ste 402A, Pocatello, ID, 83201-4880
person
Provider Profile Details
NPI Number
1265624100
Provider Name
Susan K Macomb
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
500 S 11Th Ave, Ste 402A, Pocatello, ID, 83201-4880
Phone Number
208-242-2335
Fax Number
208-242-2344
Provider Enumeration Date
08/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 S 11Th Ave, Ste 402A
City
State
Zip
83201-4880
Phone Number
208-242-2335
Fax Number
208-242-2344
person
Provider Business Mailing Address Details
Address
500 S 11Th Ave, Ste 402A
City
State
Zip
83201-4880
Phone Number
208-242-2335
Fax Number
208-242-2344
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3891 (Idaho)
Definition
Definition to come...
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