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NPI Code Detail

MEDICARE: HOLLY ELIZABETH HUGHES

MEDICARE: HOLLY ELIZABETH HUGHES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLCPC-2964ID

General Provider Information

NPI Number : 1922139849
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY ELIZABETH HUGHES
Provider Business Mailing Address
First Line : 6490 W TOBI DR
Second Line :
City : BOISE
State : ID
Zip : 83714-6104
Country : US
Telephone Number : 208-331-3463
Fax Number :
Provider Business Practice Location Address
First Line : 1414 W FRANKLIN ST
Second Line :
City : BOISE
State : ID
Zip : 83702-5023
Country : US
Telephone Number : 208-345-1851
Fax Number : 208-395-1948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 07/08/2007

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Directions to “ HOLLY ELIZABETH HUGHES ” Practice Location

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