| Ms Amy Holloway, EDS | |
|
4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202-2376 | |
| (208) 223-7983 | |
| (208) 237-1800 |
| Full Name | Ms Amy Holloway |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4650 Hawthorne Rd Ste 3b, Chubbuck, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700174026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SE-202592 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amy Holloway, EDS 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202-2376 Ph: (208) 223-7983 | Ms Amy Holloway, EDS 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202-2376 Ph: (208) 223-7983 |
Lavon Marie Cole, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
Nancy Bentley, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806 | |
David Averill, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 Kings Way Ste 2, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-5192 | |
Sara Stengel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 387 Chesapeake Ave, Chubbuck, ID 83202 Phone: 208-352-6486 | |
Jade Letourneau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711 | |
Laurie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202 Phone: 208-238-2120 | |
Ashley Bringhurst, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 4856 Brookstone St, Chubbuck, ID 83202 Phone: 208-709-0033 |