person
Ms. Amy Holloway, EDS
Mental Health Counselor in Chubbuck, Idaho
NPI 1700174026

Amy Holloway is a Mental Health Counselor based in Chubbuck, ID and is specialized in Mental Health. Amy Holloway practices in Chubbuck, ID and has the professional credentials of EDS. The NPI Number for Amy Holloway is 1700174026 and holds a License No. SE-202592 (Idaho).

The current practice location address for Amy Holloway is 4650 Hawthorne Rd Ste 3B, Chubbuck, ID and can be reached out via phone at 208-223-7983 and via fax at 208-237-1800.

Location: 4650 Hawthorne Rd Ste 3B, Chubbuck, ID, 83202-2376
person
Provider Profile Details
NPI Number
1700174026
Provider Name
Amy Holloway
Credential
EDS
Provider Entity Type
Individual
Gender
Female
Address
4650 Hawthorne Rd Ste 3B, Chubbuck, ID, 83202-2376
Phone Number
208-223-7983
Fax Number
208-237-1800
Provider Enumeration Date
07/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4650 Hawthorne Rd Ste 3B
City
State
Zip
83202-2376
Phone Number
208-223-7983
Fax Number
208-237-1800
person
Provider Business Mailing Address Details
Address
4650 Hawthorne Rd Ste 3B
City
State
Zip
83202-2376
Phone Number
208-223-7983
Fax Number
208-237-1800
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
SE-202592 (Idaho)
Definition
Definition to come...
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