Susan K Macomb, LCPC

NPI #1265624100 in Pocatello, Idaho

Provider Information

NPI Number
1265624100
Entity Type
Individual
Name
Susan K Macomb, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Aug 14, 2007
Last Updated
Sep 6, 2023

Practice Location

Address
500 S 11TH AVE, STE 402A
State
Idaho
ZIP Code
83201-4880
Phone
(208) 242-2335

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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