Susan Marie Holasek, LCPC is a
Counselor - Professional based in Coeur D'alene, Idaho. Susan Marie Holasek is licensed to practice in Idaho (license number LCPC-205) and her current practice location is
190 Ironwood Center Drive, Coeur D'alene, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 765-4509.
NPI number for Susan Marie Holasek is 1043425473 and her current mailing address is 190 Ironwood Center Drive, Coeur D'alene, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043425473.
Healthcare Provider's Profile
| Full Name | Susan Marie Holasek |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 190 Ironwood Center Drive, Coeur D'alene, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043425473
- Provider Enumeration Date: 05/11/2007
- Last Update Date: 07/14/2008
Medical Identifiers
Medical identifiers for Susan Marie Holasek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043425473 | NPI | - | NPPES |
| 0035305 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LCPC-205 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Marie Holasek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Marie Holasek, LCPC
190 Ironwood Center Drive,
Coeur D'alene, ID 83814
Ph: (208) 765-4509 | Susan Marie Holasek, LCPC
190 Ironwood Center Drive,
Coeur D'alene, ID 83814
Ph: (208) 765-4509 |
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