person
Alisa Ellis, LCPC
Professional Counselor in Idaho Falls, Idaho
NPI 1881879039

Alisa Ellis is a Professional Counselor based in Idaho Falls, ID and is specialized in Professional. Alisa Ellis practices in Idaho Falls, ID and has the professional credentials of LCPC. The NPI Number for Alisa Ellis is 1881879039 and holds a License No. LCPC-3497 (Idaho).

The current practice location address for Alisa Ellis is 2001 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-529-4673 and via fax at 208-529-4676. You can also correspond with Alisa Ellis through the mailing address at 2001 S WOODRUFF AVE, IDAHO FALLS, ID - 83404-6374 (mailing address contact number: 208-529-4673).

Location: 2001 S Woodruff Ave, Idaho Falls, ID, 83404-6374
person
Provider Profile Details
NPI Number
1881879039
Provider Name
Alisa Ellis
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2001 S Woodruff Ave, Idaho Falls, ID, 83404-6374
Phone Number
208-529-4673
Fax Number
208-529-4676
Provider Enumeration Date
01/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 S Woodruff Ave
City
State
Zip
83404-6374
Phone Number
208-529-4673
Fax Number
208-529-4676
person
Provider Business Mailing Address Details
Address
2001 S Woodruff Ave
City
State
Zip
83404-6374
Phone Number
208-529-4673
Fax Number
208-529-4676
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-3497 (Idaho)
Definition
Definition to come...
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