Individual
ELIZABETH BIRCHMORE RISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
403 W CHERRY LN, MERIDIAN, ID 83642-1610
(208) 220-2162
(208) 895-8049
Mailing address
1819 W JEFFERSON ST, BOISE, ID 83702-3952
(208) 220-2162
(208) 895-8049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5848
ID
Other
Enumeration date
01/13/2009
Last updated
01/16/2019
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