Individual
CATHERINE JEANIENE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4227 N TAMARACK DR, BOISE, ID 83703-4031
(208) 724-4773
Mailing address
4227 N TAMARACK DR, BOISE, ID 83703-4031
(208) 724-4773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5081904
ID
101YM0800X
Mental Health Counselor
5081904
ID
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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