Individual
MRS. ELISSA PFAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8601 W EMERALD ST STE 130, BOISE, ID 83704-8209
(208) 600-2184
Mailing address
1553 E TUTTLE ST, MERIDIAN, ID 83646-4861
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7286
ID
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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