Tonya Hollist, LCSW

NPI #1598232209 in Sugar City, Idaho

Provider Information

NPI Number: 1598232209
Entity Type: Individual
Name: Tonya Hollist, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 31, 2018
Last Updated: Jan 4, 2021

Practice Location

Address: 1223 S RAILROAD AVE
City: Sugar City
State: Idaho
ZIP Code: 83448-5072
Phone: (208) 359-0519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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