Individual
MS. CYNTHIA EORIO ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1412 W WASHINGTON ST, BOISE, ID 83702-5038
(208) 336-1900
(208) 890-6427
Mailing address
1412 W WASHINGTON ST, BOISE, ID 83702-5038
(208) 336-1900
(208) 890-6427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 10
ID
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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