person
Lauren Elizabeth Ellsworth
Peer Specialist in Pocatello, Idaho
NPI 1811417272

Lauren Elizabeth Ellsworth is a Peer Specialist based in Pocatello, ID. Lauren Elizabeth Ellsworth practices in Pocatello, ID. The NPI Number for Lauren Elizabeth Ellsworth is 1811417272 and holds a License No. CPSS415 (Idaho).

The current practice location address for Lauren Elizabeth Ellsworth is 444 Hospital Way Ste 477, Pocatello, ID and can be reached out via phone at 208-233-7832.

Location: 444 Hospital Way Ste 477, Pocatello, ID, 83201-2744
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Provider Profile Details
NPI Number
1811417272
Provider Name
Lauren Elizabeth Ellsworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
444 Hospital Way Ste 477, Pocatello, ID, 83201-2744
Phone Number
208-233-7832
Fax Number
Provider Enumeration Date
06/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
444 Hospital Way Ste 477
City
State
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
person
Provider Business Mailing Address Details
Address
444 Hospital Way Ste 477
City
State
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CPSS415 (Idaho)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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