Individual
ELENA VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
PO BOX 678, EMMETT, ID 83617-0678
(208) 365-3437
Mailing address
PO BOX 678, EMMETT, ID 83617-0678
(208) 365-3437
(208) 365-7235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5061678
ID
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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