Provider Demographics
NPI:1205389277
Name:TOLMAN, CHRISTINE (LCPC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:TOLMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:MARCUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1510 S ROBERT ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-5194
Mailing Address - Country:US
Mailing Address - Phone:208-941-5435
Mailing Address - Fax:
Practice Address - Street 1:1510 S ROBERT ST STE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-5194
Practice Address - Country:US
Practice Address - Phone:208-941-5435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-6272101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional