Individual
ELISABETH CLONTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 E CHUBBUCK RD, CHUBBUCK, ID 83202-5055
(208) 237-1711
(208) 237-9806
Mailing address
265 E CHUBBUCK RD, CHUBBUCK, ID 83202-5055
(208) 237-1711
(208) 237-9806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6345
ID
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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