Individual
ELIZABETH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
140 E 2ND N, MOUNTAIN HOME, ID 83647-2711
(208) 587-8095
(208) 587-8025
Mailing address
140 E 2ND N, MOUNTAIN HOME, ID 83647-2711
(208) 587-8095
(208) 587-8025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5572
ID
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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