Individual
ELISHA DAWN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1755 N WESTGATE DR STE 280, BOISE, ID 83704-7176
(208) 724-9524
Mailing address
1755 N WESTGATE DR STE 280, BOISE, ID 83704-7176
(208) 724-9524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6631
ID
Other
Enumeration date
07/31/2017
Last updated
06/12/2023
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