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1790163285
REBECCA BUCHHOLZ
BOISE, ID
NPI
1790163285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID 164)
Enumeration Date
2015-05-15
Last Update Date
2015-05-15
Business Address
-- REBECCA BUCHHOLZ M. Ed, ACADC
400 N BENJAMIN LN SUITE #201
BOISE, ID 83704-5094
Phone number: 208-577-4887
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Mailing Address
-- REBECCA BUCHHOLZ M. Ed, ACADC
400 N BENJAMIN LN SUITE #201
BOISE, ID 83704-5094
Phone number: 208-577-4887
Copy
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