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Organization
LUMINOUS WISDOM SANDPLAY THERAPY AND COUNSELING PLLC
Active
Organization
LUMINOUS WISDOM SANDPLAY THERAPY AND COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MARIE ELSBREE LCSW (CLINICAL SOCIAL WORKER)
(208) 243-9152
Entity
Organization
Contact information
Practice address
250 S SKYLINE DR STE 3, IDAHO FALLS, ID 83402-3294
(208) 243-9152
(888) 240-1846
Mailing address
2235 E 25TH ST STE 140, IDAHO FALLS, ID 83404-8090
(208) 243-9152
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
10/01/2024
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